Individual
KEVIN CRAIG JOHNSTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1502 N ZARAGOZA RD, EL PASO, TX 79936-7905
(915) 855-4442
Mailing address
8151 E INDIAN BEND RD, SUITE 111, SCOTTSDALE, AZ 85250-4826
(480) 607-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26043
TX
122300000X
Dentist
7433155-9922
UT
Other
Enumeration date
09/02/2010
Last updated
12/10/2015
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