Individual
DR. ANDREW KINCAID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4501 50TH ST, LUBBOCK, TX 79414-3613
(806) 792-9811
(806) 792-4450
Mailing address
4501 50TH ST, LUBBOCK, TX 79414-3613
(806) 792-9811
(806) 792-4450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17086
TX
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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