DR. Michael Lee Johnson, DDS
NPI #1629216726 in Fort Irwin, California
Provider Information
- NPI Number
- 1629216726
- Entity Type
- Individual
- Name
- DR. Michael Lee Johnson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jan 27, 2009
- Last Updated
- Jun 21, 2023
Practice Location
- Address
- BLDG 171, 4TH & INNERLOOP
- Address 2
- USA DENTAC
- City
- Fort Irwin
- State
- California
- ZIP Code
- 92310-5076
- Phone
- (719) 526-5537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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