DR. Mark A Johnson, DDS

NPI #1275971988 in Queen Creek, Arizona

Provider Information

NPI Number: 1275971988
Entity Type: Individual
Name: DR. Mark A Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 5, 2013
Last Updated: Aug 12, 2014

Practice Location

Address: 1714 W HUNT HWY STE 100
City: Queen Creek
State: Arizona
ZIP Code: 85143-5245
Phone: (480) 882-3119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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