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Organization
DR. ROBERT W. JOHNSON, L.L.C.
Active
Organization
DR. ROBERT W. JOHNSON, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLEN JOHNSON (DIRECTOR)
(318) 253-0935
Entity
Organization
Contact information
Practice address
515 W WADDIL ST, POST OFFICE BOX 307, MARKSVILLE, LA 71351-2648
(318) 253-5141
(318) 240-8735
Mailing address
515 W WADDIL ST, POST OFFICE BOX 307, MARKSVILLE, LA 71351-2648
(318) 253-5141
(318) 240-8735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1823601
—
LA
Enumeration date
06/30/2010
Last updated
06/30/2010
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