Individual
REBECCA B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
903 RAZORBACK DR, SUITE 10, HOUGHTON, MI 49931-2825
(906) 483-0200
(906) 483-0209
Mailing address
903 RAZORBACK DR, SUITE 10, HOUGHTON, MI 49931-2825
(906) 483-0200
(906) 483-0209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16929
MI
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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