Individual
DR. CRAIG MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 ELLISON AVE, LOUISVILLE, KY 40204-1902
(502) 649-3350
Mailing address
916 ELLISON AVE, LOUISVILLE, KY 40204-1902
(502) 649-3350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8488
KY
Other
Enumeration date
06/04/2007
Last updated
05/04/2009
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