Individual
DR. JOLLY MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7515 MAIN ST, SUITE 230, HOUSTON, TX 77030-4519
(713) 797-9080
(713) 797-9081
Mailing address
7515 MAIN ST, SUITE 230, HOUSTON, TX 77030-4519
(713) 797-9080
(713) 797-9081
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
11324
TX
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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