DR. Dale Alan Johnson, D.D.S.

NPI #1750474706 in Freeport, Illinois

Provider Information

NPI Number: 1750474706
Entity Type: Individual
Name: DR. Dale Alan Johnson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1717 W CHURCH ST
City: Freeport
State: Illinois
ZIP Code: 61032-4695
Phone: (815) 233-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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