Individual
DR. HUDSON S JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
712 N BEELINE HWY, PAYSON, AZ 85541-3706
(928) 474-4581
(928) 474-4584
Mailing address
712 N BEELINE HWY, PAYSON, AZ 85541-3706
(928) 474-4581
(928) 474-4584
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D6659
AZ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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