Individual
DR. TAD TERRENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1845 W 4400 S, SUITE 3B, ROY, UT 84067
(801) 731-0088
(801) 731-0099
Mailing address
1845 W 4400 S, SUITE 3B, ROY, UT 84067
(801) 731-0088
(801) 731-0099
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1456559921
UT
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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