# AD ASTRA FAMILY DENTISTRY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942744107
- **Authorized official:** DR. ERIC C JOHNSON DDS (CO-OWNER)
- **Authorized official phone:** (785) 220-6346

## Contact information

- **Practice address:** 1271 SW WOODHULL ST STE A, TOPEKA, KS 66604-1849
- **Practice address phone:** (785) 286-7541
- **Practice address fax:** (785) 783-2962
- **Mailing address:** 5963 SW 31ST TER, TOPEKA, KS 66614-4123
- **Mailing address phone:** (785) 286-7541
- **Mailing address fax:** (785) 783-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60471 | KS | Yes |

## Other

- **Enumeration date:** 12/07/2016
- **Last updated:** 12/07/2016
