Individual
DR. MATTHEW S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
14859 N. DALE MABRY HWY, TAMPA, FL 33647
(813) 964-0828
Mailing address
14859 N DALE MABRY HWY, TAMPA, FL 33618
(813) 964-0828
(813) 964-0928
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12335
FL
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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