Organization
KEITH A. JOHNSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN JOHNSON D.D.S. (DENTIST)
(641) 592-2200
Entity
Organization
Contact information
Practice address
206 E. MAIN ST., LAKE MILLS, IA 50450
(641) 592-2200
(641) 592-2202
Mailing address
206 E. MAIN ST., LAKE MILLS, IA 50450
(641) 592-2200
(641) 592-2202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
#6195
IA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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