Individual
DR. DANIEL DARIUS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6109 E HIGHWAY 191, ODESSA, TX 79762-5348
(432) 305-0049
Mailing address
7707 VALERA LN, HOUSTON, TX 77083-5138
(832) 483-5762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34018
TX
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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