Organization
DONALD J JOHNSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J JOHNSON DDS (OWNER)
(208) 667-4551
Entity
Organization
Contact information
Practice address
114 W NEIDER AVE, COEUR D'ALENE, ID 83815-9300
(208) 667-4551
(866) 683-6479
Mailing address
114 W NEIDER AVE, COEUR D'ALENE, ID 83815-9300
(208) 667-4551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1677
ID
Other
Enumeration date
06/06/2011
Last updated
06/22/2018
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