Cole Johnson

NPI #1093384687 in Marion, Indiana

Provider Information

NPI Number
1093384687
Entity Type
Individual
Name
Cole Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 18, 2021
Last Updated
Jun 18, 2021

Practice Location

Address
2017 S WESTERN AVE
City
Marion
State
Indiana
ZIP Code
46953-2824
Phone
(317) 910-2089

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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