Organization
MARC G. JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC GREGORY JOHNSON D.D.S. (ORAL SURGEON)
(585) 472-6326
Entity
Organization
Contact information
Practice address
150 LYNNWOOD DR, ROCHESTER, NY 14618-2826
(585) 472-6326
(585) 922-4495
Mailing address
150 LYNNWOOD DR, ROCHESTER, NY 14618-2826
(585) 472-6326
(585) 922-4495
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048311
NY
Other
Enumeration date
06/21/2010
Last updated
07/19/2010
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