Individual
DR. MARC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041547-1
NY
124Q00000X
Dental Hygienist
—
NY
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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