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1649603838
TIMOTHY JOHNSON
BRYAN, TX
NPI
1649603838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 30360)
Enumeration Date
2013-08-12
Last Update Date
2016-05-24
Business Address
Dr. TIMOTHY JOHNSON DDS
1126 E VILLA MARIA RD
BRYAN, TX 77802-2444
Phone number: 979-776-1976
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Mailing Address
Dr. TIMOTHY JOHNSON DDS
1126 E VILLA MARIA RD
BRYAN, TX 77802-2444
Phone number: 979-776-1976
Copy
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