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Organization

JJJOHNSONDDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFF JOHNSON DMD (DENTIST)
(314) 427-7400
Entity
Organization

Contact information

Practice address
9775 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-2635
(314) 427-7400
Mailing address
9775 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-2635
(314) 427-7400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2005017506
MO
122300000X
Dentist
Primary
MO 12260
MO

Other

Enumeration date
06/04/2013
Last updated
06/04/2013
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