Organization
JOHN J JOHNSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J JOHNSON DDS (DENTIST)
(208) 798-7955
Entity
Organization
Contact information
Practice address
3510 12TH ST, SUITE 600, LEWISTON, ID 83501
(208) 798-7955
(208) 798-7957
Mailing address
3510 12TH ST, SUITE 600, LEWISTON, ID 83501
(208) 798-7955
(208) 798-7957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IDAHO D3189
ID
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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