Individual
DR. ALICE JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5802B BERKMAN DR, AUSTIN, TX 78723-2625
(512) 452-2195
(512) 452-1871
Mailing address
7333 E HWY 290, AUSTIN, TX 78723-1526
(512) 452-2195
(512) 452-1871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17654
TX
Other
Enumeration date
06/10/2006
Last updated
10/03/2012
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