| NPI | 1710188388 |
|---|---|
| Former Legal Business Name | C. CHAD JOHNSON, D.D.S., P.A. |
| Entity Type | Organization |
| Authorized Contact | PATRICIA L WEBB Business Manager 479-521-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR AR3377) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |