EVAN O JOHNSON

IDAHO FALLS, ID
NPI1891756599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D1853)
Enumeration Date2006-03-31
Last Update Date2015-05-19
Business Address
-- EVAN O JOHNSON DMD
1520 ELK CRK
IDAHO FALLS, ID 83404-8322
Phone number: 208-522-8854
Mailing Address
-- EVAN O JOHNSON DMD
1520 ELK CRK
IDAHO FALLS, ID 83404-8322
Phone number: 208-522-8854
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