Individual
DR. BERNARD A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6501 GREENFIELD RD, #201, DETROIT, MI 48228-4780
(313) 584-5600
(313) 945-1103
Mailing address
6501 GREENFIELD RD, #201, DETROIT, MI 48228-4780
(313) 584-5600
(313) 945-1103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011576
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2736573
—
MI
05
—
4490053
—
MI
Enumeration date
05/07/2007
Last updated
07/09/2007
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