MARK JOHNSON, DMD
Dentist - General Practice
Active
Individual
NPI: 1629121496
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 1130 (WY) |
Frequently Asked Questions
NPI 1629121496 is the National Provider Identifier for MARK JOHNSON, DMD, a Dentist - General Practice provider located in Thayne, WY. This NPI was enumerated on January 18, 2007.
MARK JOHNSON, DMD practices at 487 N MAIN, SUITE B, Thayne, WY 83127.
Quick Facts
- NPI
- 1629121496
- Type
- Individual
- Enumerated
- Jan 18, 2007
- Last Updated
- Jul 30, 2014
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