Individual
DR. CASEY WILLIAM JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2624 GRAND AVE, SUITE 200, GLENWOOD SPRINGS, CO 81601-4176
(970) 928-9500
(970) 928-7467
Mailing address
2624 GRAND AVE, SUITE 200, GLENWOOD SPRINGS, CO 81601-4176
(970) 928-9500
(970) 928-7467
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7653
CO
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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