Individual
DR. RUSSELL IVAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-3323
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-3323
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30652
TX
Other
Enumeration date
02/08/2015
Last updated
02/08/2015
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