| NPI | 1780480665 |
|---|---|
| Doing Business As | JOHNSON PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CODY JOHNSON Owner 435-628-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |