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1679662837
KENT MAX JOHNSON
PARK CITY, UT
NPI
1679662837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 1434409921)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
DR. KENT MAX JOHNSON DDS
1840 SUN PEAK DR
PARK CITY, UT 84098-6732
Phone number: 435-658-0678
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Mailing Address
DR. KENT MAX JOHNSON DDS
1840 SUN PEAK DR
PARK CITY, UT 84098-6732
Phone number: 435-658-0678
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