Individual
DR. WILLIAM JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6756 CHEW AVE, PHILADELPHIA, PA 19119-1910
(215) 843-9409
Mailing address
6756 CHEW AVE, PHILADELPHIA, PA 19119-1910
(215) 843-9409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS015141-L
PA
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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