Organization
JOHNSON ORTHODONTICS, PLLC
Active
Other names
Mehan and Johnson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DAVID JOHNSON III DMD (OWNER)
(603) 623-8003
Entity
Organization
Contact information
Practice address
113 MAMMOTH RD, SUITE 1, MANCHESTER, NH 03109
(603) 623-8003
(603) 623-1191
Mailing address
113 MAMMOTH RD, SUITE 1, MANCHESTER, NH 03109
(603) 623-8003
(603) 623-1191
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3974
NH
Other
Enumeration date
08/02/2013
Last updated
08/08/2013
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