DR. Blake Bruce Johnson, DMD

NPI #1790469229 in Taylor, Texas

Provider Information

NPI Number
1790469229
Entity Type
Individual
Name
DR. Blake Bruce Johnson, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 14, 2023
Last Updated
Jun 28, 2023

Practice Location

Address
3705 N MAIN ST STE 200
City
Taylor
State
Texas
ZIP Code
76574-4997
Phone
(512) 595-7439

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist

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