Individual
DAVID ROSS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 863-2800
Mailing address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015613
MI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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