Organization
MARK W JOHNSON, DMD, PC
Active
Other names
Riverside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOHNSON DMD (DENTIST)
(307) 883-4222
Entity
Organization
Contact information
Practice address
487 N MAIN ST STE B, THAYNE, WY 83127-9768
(307) 883-4222
Mailing address
487 N MAIN ST STE B, THAYNE, WY 83127-9768
(307) 883-4222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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