Individual
DR. BRANDON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2707 VINE ST, SUITE 5, HAYS, KS 67601-1949
(785) 621-2953
Mailing address
1409 W 44TH ST, HAYS, KS 67601-1416
(913) 620-6402
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60616
KS
Other
Enumeration date
03/08/2010
Last updated
07/23/2010
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