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Individual

DR. RYAN MAX JOHNSON

Active
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Individual

DR. RYAN MAX JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22989
TX
1223G0001X
General Practice Dentistry
Primary
22989
TX
1223G0001X
General Practice Dentistry
5948521-9922
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22989
TX

Other

Enumeration date
05/15/2006
Last updated
06/10/2024
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