DR. Mark Leslie Johnson, D.D.S.

NPI #1154443513 in Flagler Beach, Florida

Provider Information

NPI Number
1154443513
Entity Type
Individual
Name
DR. Mark Leslie Johnson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
215 S 3RD ST
State
Florida
ZIP Code
32136-3613
Phone
(386) 439-9688

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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