Organization
JUDY ANN JOHNSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY ANN JOHNSON DDS (PRESIDENT)
(708) 647-0740
Entity
Organization
Contact information
Practice address
1030 STERLING AVENUE, FLOSSMOOR, IL 60422-1265
(708) 647-0740
(708) 647-0741
Mailing address
1030 STERLING AVENUE, FLOSSMOOR, IL 60422-1265
(708) 647-0740
(708) 647-0741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016821
IL
Other
Enumeration date
10/04/2006
Last updated
06/17/2013
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