Individual
DR. WILLIAM A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1910 42ND ST S, SUITE A, FARGO, ND 58103-4416
(701) 365-0507
(701) 365-0009
Mailing address
1910 42ND ST S, SUITE A, FARGO, ND 58103-4416
(701) 365-0507
(701) 365-0009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2165
ND
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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