Organization
AD ASTRA FAMILY DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC C JOHNSON DDS (CO-OWNER)
(785) 220-6346
Entity
Organization
Contact information
Practice address
1271 SW WOODHULL ST STE A, TOPEKA, KS 66604-1849
(785) 286-7541
(785) 783-2962
Mailing address
5963 SW 31ST TER, TOPEKA, KS 66614-4123
(785) 286-7541
(785) 783-2962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60471
KS
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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