JAY WILSON JOHNSON

JACKSONVILLE, FL
NPI1992780746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12007800A)
Enumeration Date2005-12-14
Last Update Date2009-02-03
Business Address
Dr. JAY WILSON JOHNSON DDS
BLDG H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212-0140
Phone number: 760-725-5102
Mailing Address
Dr. JAY WILSON JOHNSON DDS
PO BOX 555221
CAMP PENDLETON, CA 92055-5221
Phone number: 760-725-5102