Individual
ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1245 N WEST ST, WICHITA, KS 67203-1241
(316) 838-1300
Mailing address
1245 N WEST ST, WICHITA, KS 67203-1241
(316) 838-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61357
KS
Other
Enumeration date
05/30/2018
Last updated
08/20/2024
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