DR. Kenneth Dale Johnson, D.D.S.

NPI #1679654586 in Perryton, Texas

Provider Information

NPI Number
1679654586
Entity Type
Individual
Name
DR. Kenneth Dale Johnson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 18, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3102 GARRETT DR
State
Texas
ZIP Code
79070-5324
Phone
(806) 435-6564

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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