John J Johnson DDS PC

NPI #1265516272 in Lewiston, Idaho

Provider Information

NPI Number: 1265516272
Entity Type: Organization
Organization Name: John J Johnson DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: MR. JOHN J JOHNSON, DDS
Title: DENTIST
Phone: (208) 798-7955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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