Individual
DR. RICHARD A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8230 E BROADWAY BLVD, W-1, TUCSON, AZ 85710-4044
(520) 290-0120
(520) 296-0558
Mailing address
8230 E BROADWAY BLVD # 1, TUCSON, AZ 85710-4044
(520) 290-0120
(520) 296-0558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4676
AZ
Other
Enumeration date
12/04/2008
Last updated
01/29/2009
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