Individual
DR. BRYAN DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1332 HAMBURG TPKE, WAYNE, NJ 07470
(973) 696-6404
(973) 696-3012
Mailing address
1332 HAMBURG TPKE, WAYNE, NJ 07470
(973) 696-6404
(973) 696-3012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22D101608200
NJ
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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