Individual
BRIAN E. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 CHRISTIAN DR, SUITE B, BRANDON, MS 39042-2762
(601) 825-1172
Mailing address
103 CHRISTIAN DR, SUITE B, BRANDON, MS 39042-2762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1756
MS
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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