Organization
CLINTON M JOHNSON DDS, LAWRENCE J. SHINE JR. DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON M JOHNSON D.D.S. (DOCTOR)
(816) 523-7788
Entity
Organization
Contact information
Practice address
1734 E 63RD ST, SUITE 520, KANSAS CITY, MO 64110
(816) 523-9787
(816) 444-1175
Mailing address
1734 E 63RD ST, SUITE 520, KANSAS CITY, MO 64110
(816) 523-7788
(816) 444-1175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
01/09/2014
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