Individual
DR. BRANDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15534 RANCH ROAD 620 N STE 300, AUSTIN, TX 78717-5277
(512) 580-9200
Mailing address
1033 ROBERTS BRANCH PKWY STE 103, COLUMBIA, SC 29203-9148
(803) 339-8542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35499
TX
1223G0001X
General Practice Dentistry
9150
SC
Other
Enumeration date
07/01/2018
Last updated
08/16/2019
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