Gregory Justin Johnson

NPI #1881677094 in Richardton, North Dakota

Provider Information

NPI Number
1881677094
Entity Type
Individual
Name
Gregory Justin Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Nov 22, 2005
Last Updated
May 4, 2017

Practice Location

Address
200 3RD AVE W
ZIP Code
58652-0333
Phone
(701) 974-2118

Specialties & Taxonomy Codes

Specialty
Dentist

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