DR. Michael David Johnson, D.D.S.

NPI #1295882645 in Elgin, Illinois

Provider Information

NPI Number: 1295882645
Entity Type: Individual
Name: DR. Michael David Johnson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2090 LARKIN AVE
Address 2: UNIT ONE-REAR
City: Elgin
State: Illinois
ZIP Code: 60123-5849
Phone: (847) 741-6217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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