DR. Mark Johnson, DDS

NPI #1508953381 in Irvington, New Jersey

Provider Information

NPI Number: 1508953381
Entity Type: Individual
Name: DR. Mark Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2 WASHINGTON AVE
City: Irvington
State: New Jersey
ZIP Code: 07111
Phone: (973) 399-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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