Individual
DR. KEVIN DARNELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
71 VALLEY ST, SUITE103, SOUTH ORANGE, NJ 07079-2835
(973) 378-2070
Mailing address
5 FENFIELD CT, HAMBURG, NJ 07419-1268
(973) 209-4384
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DI20215
NJ
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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