Organization
BRANON D JOHNSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANON JOHNSON DDS (OWNER/DENTIST)
(719) 775-8758
Entity
Organization
Contact information
Practice address
170 E. AVENUE, LIMON, CO 80828
(719) 775-8758
Mailing address
PO BOX 309, LIMON, CO 80828-0309
(719) 775-8758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8115
CO
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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