Individual
DR. JOSEPH EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG/SGDS, WRIGHT PATTERSON AFB, OH 45433-5529
(913) 257-9631
(937) 257-8761
Mailing address
57 MAGNOLIA LN APT 3325, BEAVERCREEK, OH 45440-1485
(716) 812-8151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039096
PA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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