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Individual

DR. ROBERT VINCENT JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3633 W LAKE AVE, SUITE 105, GLENVIEW, IL 60026-5805
(847) 729-6300
(847) 729-6331
Mailing address
3633 WEST LAKE AVE, SUITE 105, GLENVIEW, IL 60026-5801
(847) 729-6300
(847) 729-6331

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19A16014
IL

Other

Enumeration date
12/15/2005
Last updated
07/08/2007
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