Individual
DR. ANDREW JOHNSON IV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25 LOOKER MOUNTAIN TRL, BRADFORD, PA 16701-3441
(814) 368-7498
Mailing address
25 LOOKER MOUNTAIN TRL, BRADFORD, PA 16701-3441
(814) 368-7498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017506L
PA
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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