Organization
JOHNSTON DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L JOHNSTON (OWNER)
(318) 255-6780
Entity
Organization
Contact information
Practice address
306 E REYNOLDS DR, SUITE 1, RUSTON, LA 71270-2846
(318) 255-6780
Mailing address
306 E REYNOLDS DR, SUITE 1, RUSTON, LA 71270-2846
(318) 255-6780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6686
LA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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