Andrew E Johnson, DDS Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1134408156
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 8006231-9922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-08-08
- Last updated
- 2011-08-08
Practice location
3707 N Canyon Rd, 7d
Provo, UT 84604-4592
(801) 221-5859