GRADY EARL JOHNSON

JACKSONVILLE, FL
NPI1861508715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN 7137)
Enumeration Date2006-08-22
Last Update Date2023-03-07
Business Address
Dr. GRADY EARL JOHNSON DMD
4273 POINT LA VISTA RD S
JACKSONVILLE, FL 32207-6243
Phone number: 904-398-0404
Mailing Address
Dr. GRADY EARL JOHNSON DMD
4273 POINT LA VISTA RD S
JACKSONVILLE, FL 32207-6243
Phone number: 904-398-0404