Individual
DR. ROBERT J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 LAKE ST, STE 101, ONTONAGON, MI 49953-1034
(906) 884-4040
(906) 884-4080
Mailing address
400 LAKE ST, STE 101, ONTONAGON, MI 49953-1034
(906) 884-4040
(906) 884-4080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1704352
—
MI
Enumeration date
11/16/2006
Last updated
07/08/2007
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