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Individual
MATTHEW PARKER JOHNSTON
Active
Individual
MATTHEW PARKER JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8582
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8582
LICENSE
OR
Enumeration date
07/31/2006
Last updated
02/20/2024
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