DR. Theodore Coatany Johnson, DMD

NPI #1972661494 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1972661494
Entity Type: Individual
Name: DR. Theodore Coatany Johnson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4855 WARD RD
Address 2: SUITE 700
City: Wheat Ridge
State: Colorado
ZIP Code: 80033
Phone: (303) 422-8748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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