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Individual

DR. WILLIAM R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4007 VALLEY VIEW DRIVE, LOUISVILLE, KY 40216
(502) 448-0678
(502) 448-6292
Mailing address
4007 VALLEY VIEW DRIVE, LOUISVILLE, KY 40216
(502) 448-0678
(502) 448-6292

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5700
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60057007
KY
Enumeration date
01/30/2007
Last updated
06/16/2014
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