Phung Pham Johnson, DMD

NPI #1205063203 in Johnson City, Tennessee

Provider Information

NPI Number: 1205063203
Entity Type: Individual
Name: Phung Pham Johnson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 17, 2009
Last Updated: Mar 3, 2015

Practice Location

Address: 520 W OAKLAND AVE
Address 2: SUITE 6
City: Johnson City
State: Tennessee
ZIP Code: 37604-1654
Phone: (423) 926-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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