Individual
MR. JEFFREY C. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
250 ROUTE 4 STE 101, HAGATNA, GU 96910-7110
(671) 646-7982
(671) 646-7989
Mailing address
250 ROUTE 4 STE 101, HAGATNA, GU 96910-7110
(671) 646-7982
(671) 646-7989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D829
GU
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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