Individual
DR. KENT MAX JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1840 SUN PEAK DR, PARK CITY, UT 84098-6732
(435) 658-0678
(435) 940-1385
Mailing address
1840 SUN PEAK DR, PARK CITY, UT 84098-6732
(435) 658-0678
(435) 940-1385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1434409921
UT
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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