Mark W Johnson, DMD

NPI #1629121496 in Thayne, Wyoming

Provider Information

NPI Number
1629121496
Entity Type
Individual
Name
Mark W Johnson, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jan 18, 2007
Last Updated
Jul 30, 2014

Practice Location

Address
487 N MAIN
Address 2
SUITE B
City
Thayne
State
Wyoming
ZIP Code
83127
Phone
(307) 883-4222

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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