DR. Mark Steven Johnson, DDS

NPI #1245388255 in Annandale, Minnesota

Provider Information

NPI Number
1245388255
Entity Type
Individual
Name
DR. Mark Steven Johnson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
93 OAK AVENUE
Address 2
3
ZIP Code
55302-0539
Phone
(320) 274-2475

Specialties & Taxonomy Codes

Specialty
Dentist

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