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1912487505
DWIGHT JOHNSON
GRANDVIEW, MO
NPI
1912487505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2018021651)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
Dr. DWIGHT JOHNSON
12200 15TH ST STE 106
GRANDVIEW, MO 64030-1772
Phone number: 816-398-8046
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Mailing Address
Dr. DWIGHT JOHNSON
701 E ARMOUR BLVD APT 506
KANSAS CITY, MO 64109-2303
Phone number: 630-767-9740
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