Individual
DR. KEITH DENNIS JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.B.A.
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 867-5415
(203) 789-5912
Mailing address
335 W WOODS RD, HAMDEN, CT 06518-1916
(203) 248-7357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7105
CT
Other
Enumeration date
10/28/2005
Last updated
10/18/2007
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