DR. Kelley Purvis Johnson, D.M.D.

NPI #1699853887 in Immokalee, Florida

Provider Information

NPI Number
1699853887
Entity Type
Individual
Name
DR. Kelley Purvis Johnson, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Nov 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1454 MADISON AVE W
State
Florida
ZIP Code
34142-2200
Phone
(239) 658-3000

Specialties & Taxonomy Codes

Specialty
Dentist

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