Individual
DR. ROGER C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
503 3RD ST NE, DEVILS LAKE, ND 58301-3015
(701) 662-4961
Mailing address
503 3RD STREET, DEVILS LAKE, ND 58301-3015
(701) 662-4961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ND1574
ND
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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