John Joseph Johnson, DDS

NPI #1003189366 in Lewiston, Idaho

Provider Information

NPI Number: 1003189366
Entity Type: Individual
Name: John Joseph Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 17, 2012
Last Updated: Feb 17, 2012

Practice Location

Address: 3510 12TH STREET
Address 2: SUITE #600
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 798-7955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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