Individual
DR. DANIEL P. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
630 15TH AVE, STE 101, LONGMONT, CO 80501-2700
(303) 485-0300
(303) 485-0777
Mailing address
630 15TH AVE, STE 101, LONGMONT, CO 80501-2700
(303) 485-0300
(303) 485-0777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7778
CO
Other
Enumeration date
05/17/2007
Last updated
11/21/2014
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