DR. Kevin Bradley Johnson, D.D.S.

NPI #1740615293 in Sandpoint, Idaho

Provider Information

NPI Number
1740615293
Entity Type
Individual
Name
DR. Kevin Bradley Johnson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Sep 3, 2013
Last Updated
Sep 11, 2013

Practice Location

Address
1310 PONDEROSA DR
State
Idaho
ZIP Code
83864-5073
Phone
(208) 263-7641

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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