Individual
DR. PAUL DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25 PINE CONE DRIVE, SUITE 1, PALM COAST, FL 32164
(386) 445-7671
(386) 445-7278
Mailing address
25 PINE CONE DRIVE, SUITE 1, PALM COAST, FL 32164
(386) 445-7671
(386) 445-7278
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN14870
FL
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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