Tadarrol Andrew Johnson, DDS

NPI #1972007342 in Festus, Missouri

Provider Information

NPI Number: 1972007342
Entity Type: Individual
Name: Tadarrol Andrew Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 21, 2018
Last Updated: Mar 21, 2018

Practice Location

Address: 860 S TRUMAN BLVD
City: Festus
State: Missouri
ZIP Code: 63028-3713
Phone: (636) 937-6965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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