Organization
PRESTON DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN N JOHNSON DDS (DENTIST/OWNER)
(304) 329-1989
Entity
Organization
Contact information
Practice address
202 TUNNELTON ST STE 214, KINGWOOD, WV 26537-1452
(304) 329-1989
Mailing address
202 TUNNELTON ST STE 214, KINGWOOD, WV 26537-1452
(304) 329-1989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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