Organization
SJ DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA JOHNSON DMD (VICE PRESIDENT)
(303) 779-1305
Entity
Organization
Contact information
Practice address
6979 S HOLLY CIR, #225, CENTENNIAL, CO 80112-1577
(303) 779-1305
(303) 779-1869
Mailing address
6979 S HOLLY CIR, #225, CENTENNIAL, CO 80112-1577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9613
CO
122300000X
Dentist
9614
CO
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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