DR. Marc Roy Johnson, DMD

NPI #1265645683 in Lithia, Florida

Provider Information

NPI Number
1265645683
Entity Type
Individual
Name
DR. Marc Roy Johnson, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
May 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
16737 FISHHAWK BLVD
City
Lithia
State
Florida
ZIP Code
33547-3860
Phone
(813) 662-7171

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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