Individual
MR. DAVID BRUCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 N MAIN ST, SALEM, MO 65560
(573) 729-5424
(573) 729-0209
Mailing address
PO BOX 525, SALEM, MO 65560
(573) 729-5424
(573) 729-0209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012259
MO
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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