KEVIN BRADLEY JOHNSON

SANDPOINT, ID
NPI1740615293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3287)
Enumeration Date2013-09-03
Last Update Date2013-09-11
Business Address
Dr. KEVIN BRADLEY JOHNSON D.D.S.
1310 PONDEROSA DR
SANDPOINT, ID 83864-5073
Phone number: 208-263-7641
Mailing Address
Dr. KEVIN BRADLEY JOHNSON D.D.S.
1310 PONDEROSA DR
SANDPOINT, ID 83864-5073
Phone number: 208-263-7641
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