Organization
BRANDON JOHNSON DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON JOHNSON DMD (DENTIST)
(703) 459-0835
Entity
Organization
Contact information
Practice address
15534 RANCH ROAD 620 N STE 300, AUSTIN, TX 78717-5277
(512) 580-9200
(512) 580-9201
Mailing address
15534 RANCH ROAD 620 N STE 300, AUSTIN, TX 78717-5277
(512) 580-9200
(512) 580-9201
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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