Individual
DR. DIANE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
203 N INDIANA ST, MOORESVILLE, IN 46158-1508
(317) 834-4933
(317) 834-4935
Mailing address
203 N INDIANA ST, MOORESVILLE, IN 46158-1508
(317) 834-4933
(317) 834-4935
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12008858
IN
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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