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Individual

KEVIN CRAIG JOHNSTUN

Active
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Individual

KEVIN CRAIG JOHNSTUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26043
TX
122300000X
Dentist
7433155-9922
UT

Other

Enumeration date
09/02/2010
Last updated
12/10/2015
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