PAUL JOHNSON

TWIN FALLS, ID
NPI1871848598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4745)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE60293839)
Enumeration Date2012-07-18
Last Update Date2016-10-20
Business Address
-- PAUL JOHNSON DMD
1411 FALLS AVE E STE 1000C
TWIN FALLS, ID 83301-3459
Phone number: 208-734-7415
Mailing Address
-- PAUL JOHNSON DMD
1411 FALLS AVE E STE 1000C
TWIN FALLS, ID 83301-3459
Phone number: 208-734-7415
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