Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
992 E US HIGHWAY 80, FORNEY, TX 75126-8709
(972) 564-8718
Mailing address
992 E US HIGHWAY 80, FORNEY, TX 75126-8709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2019009495
MO
122300000X
Dentist
39399
TX
122300000X
Dentist
7054
OK
1223G0001X
General Practice Dentistry
Primary
61548
KS
Other
Enumeration date
07/27/2018
Last updated
07/14/2023
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