Individual
DR. PAUL DAVID JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1205 W MCDERMOTT DR, ALLEN, TX 75013-6305
(469) 635-1105
(469) 635-1108
Mailing address
120 S DENTON TAP RD, SUITE 210, COPPELL, TX 75019-3297
(469) 635-1105
(469) 635-1108
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26526
TX
Other
Enumeration date
05/29/2008
Last updated
11/03/2011
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