Individual
DR. TIMOTHY MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 ROCKVILLE PIKE, KENSINGTON, MD 20895-1060
(301) 881-6170
Mailing address
11301 ROCKVILLE PIKE, KENSINGTON, MD 20895-1060
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14915
MD
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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