Organization
THOMAS C. JOHNSTON D.D.S., P.C.
Active
Other names
Johnston Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C JOHNSTON D.D.S. (OWNER)
(801) 475-4646
Entity
Organization
Contact information
Practice address
5685 S 1475 E, #4A, SOUTH OGDEN, UT 84403-4716
(801) 475-4646
Mailing address
5685 S 1475 E, #4A, SOUTH OGDEN, UT 84403-4716
(801) 475-4646
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
142246
UT
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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