Individual
DR. AUDREY ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2727 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-2911
(317) 299-0706
(317) 328-4859
Mailing address
2727 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-2911
(317) 299-0706
(317) 328-4859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010179
IN
Other
Enumeration date
04/25/2006
Last updated
07/09/2007
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