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Individual
KIRK H. JOHNSON
Active
Individual
KIRK H. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5151071-9923
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DA031698
PA
Other
Enumeration date
05/03/2007
Last updated
08/17/2020
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