| NPI | 1760148209 |
|---|---|
| Former Legal Business Name | JOHNSON ORAL FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHNSON JAMES JOHNSON Owner 903-746-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |