Individual
DR. JADE ADRIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
116 W. RENFRO ST., BURLESON, TX 76028
(817) 295-7116
Mailing address
116 W. RENFRO ST., BURLESON, TX 76028
(817) 295-7116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35624
TX
Other
Enumeration date
08/22/2019
Last updated
01/06/2022
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