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Organization

BRIAN E JOHNSTON DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN E JOHNSTON DMD (PRESIDENT OF COMPANY)
(601) 825-1185
Entity
Organization

Contact information

Practice address
103 CHRISTIAN DR, SUITE B, BRANDON, MS 39042-2762
(601) 825-1172
(601) 825-1185
Mailing address
103 CHRISTIAN DR, SUITE B, BRANDON, MS 39042-2762
(601) 825-1172
(601) 825-1185

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1756
MS

Other

Enumeration date
05/30/2007
Last updated
02/22/2012
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