Individual
BRETT DANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3145 GARDEN AVE STE 1278, FORT SAM HOUSTON, TX 78234-7719
(210) 808-3735
Mailing address
3145 GARDEN AVE STE 1278, FORT SAM HOUSTON, TX 78234-7719
(210) 808-3735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14020331
UT
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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