Individual
DR. MICHAEL REED JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
103 SOUTH EDDY STREET, SOUTH BEND, IN 46617
(574) 288-4400
(574) 288-5437
Mailing address
103 SOUTH EDDY STREET, SOUTH BEND, IN 46617
(574) 288-4400
(574) 288-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12007156
IN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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