Individual
DR. ANDREW E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3707 N CANYON RD, 7D, PROVO, UT 84604-4592
(801) 221-5859
(801) 221-7091
Mailing address
3707 N CANYON RD, 7D, PROVO, UT 84604-4592
(801) 221-5859
(801) 221-7091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8006231-9922
UT
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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