Individual
DR. ALAN MARSHALL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 TRIAD CTR W, O FALLON, MO 63366-7541
(636) 978-2226
(636) 281-1441
Mailing address
126 TRIAD CTR W, O FALLON, MO 63366-7541
(636) 978-2226
(636) 281-1441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012015896
MO
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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