Organization
MARSHALLTOWN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE JOHNSON D.D.S. (DENTIST)
(920) 471-9890
Entity
Organization
Contact information
Practice address
206 E STATE ST, MARSHALLTOWN, IA 50158-1714
(641) 752-4138
Mailing address
206 E STATE ST, MARSHALLTOWN, IA 50158-1714
(641) 752-4138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08964
IA
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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