| Street | 3380 McFarland Blvd | ||
| City/Town | Northport | ||
| State/Province/Region | Alabama | ||
| Zip/Postal Code | 35476 | ||
| Phone Number | (205) 333-8886 | ||
| Country | United States |
| Full Name | Dr. Kristian Johnson DDS | ||
| Gender | male | ||
| Birthday | 1979-05-24 | ||
| Social Security Number | 505-59-0019 |
| Credit card brand | EnRoute | ||
| Credit card number | 2014761218801790 | ||
| Expire | 2027/7 | ||
| CVV | 818 |