Individual
TADARROL ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
860 S TRUMAN BLVD, FESTUS, MO 63028-3713
(636) 937-6965
(636) 937-8607
Mailing address
860 S TRUMAN BLVD, FESTUS, MO 63028-3713
(636) 937-6965
(636) 937-8607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018007650
MO
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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