DR. Dwight Johnson

NPI #1912487505 in Grandview, Missouri

Provider Information

NPI Number: 1912487505
Entity Type: Individual
Name: DR. Dwight Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 14, 2018
Last Updated: Aug 14, 2018

Practice Location

Address: 12200 15TH ST STE 106
City: Grandview
State: Missouri
ZIP Code: 64030-1772
Phone: (816) 398-8046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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