Four Corners Oral and Maxilliofacial Surgery
NPI #1104162452 in Durango, Colorado
Provider Information
- NPI Number
- 1104162452
- Entity Type
- Organization
- Organization Name
- Four Corners Oral and Maxilliofacial Surgery
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 13, 2012
- Last Updated
- Dec 13, 2012
Practice Location
Authorized Official
- Name
- DR. MICHAEL WALTER JOHNSON, M.D,DDS
- Title
- PRESIDENT
- Phone
- (970) 385-5432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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