DR. Marc Ernest Johnson, DDS

NPI #1154414084 in Centralia, Washington

Provider Information

NPI Number: 1154414084
Entity Type: Individual
Name: DR. Marc Ernest Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1407 KRESKY AVE
City: Centralia
State: Washington
ZIP Code: 98531-8912
Phone: (360) 736-9397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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