DR. Brian M Johnson, D.D.S. S.C.

NPI #1831241538 in Marinette, Wisconsin

Provider Information

NPI Number: 1831241538
Entity Type: Individual
Name: DR. Brian M Johnson, D.D.S. S.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S. S.C.
Enumeration Date: Jan 16, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 1838 DUNLAP AVE
City: Marinette
State: Wisconsin
ZIP Code: 54143-1722
Phone: (715) 735-5626

Specialties & Taxonomy Codes

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

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