DR. Mary Beth Johnson, DDS

NPI #1437292570 in Polacca, Arizona

Provider Information

NPI Number: 1437292570
Entity Type: Individual
Name: DR. Mary Beth Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 15, 2007
Last Updated: Jun 26, 2009

Practice Location

Address: HWY 264, MP 388
City: Polacca
State: Arizona
ZIP Code: 86042
Phone: (928) 737-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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