M. Andrew Johnson D.d.s. Lc

NPI #1255766820 in Logan, Utah

Provider Information

NPI Number: 1255766820
Entity Type: Organization
Organization Name: M. Andrew Johnson D.d.s. Lc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 13, 2013
Last Updated: Sep 13, 2013

Practice Location

Address: 1153 N MAIN ST
Address 2: SUITE B-150
City: Logan
State: Utah
ZIP Code: 84341-2495
Phone: (435) 752-2153

Authorized Official

Name: DR. M ANDREW JOHNSON, D.D.S.
Title: MANAGER
Phone: (435) 753-2153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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