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Organization

REED E JOHNSON DDS

Active
Other names
Creekside Cosmetic and Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
REED ELLIS JOHNSON DDS (PRES OWNER)
(317) 839-3502
Entity
Organization

Contact information

Practice address
410 W MAIN ST, PLAINFIELD, IN 46168
(317) 839-3502
Mailing address
410 W MAIN ST, PLAINFIELD, IN 46168
(317) 839-3502
(317) 298-6392

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009024
IN

Other

Enumeration date
09/14/2007
Last updated
09/14/2007
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