Individual
DR. JAMES BROOKS JOHNSTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
28 WAVERLY AVE., KILMARNOCK, VA 22482-1507
(804) 435-2110
(804) 435-8720
Mailing address
28 WAVERLY AVE., KILMARNOCK, VA 22482-1869
(804) 435-2110
(804) 435-8720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005005
VA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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