Individual
DR. DONALD J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 W. NEIDER AVE., COEUR D'ALENE, ID 83815
(208) 667-4551
Mailing address
114 W. NEIDER AVE., COEUR D'ALENE, ID 83815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1677
ID
Other
Enumeration date
10/25/2006
Last updated
06/20/2018
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