Individual
DR. MARK C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
740 MAIN ST, NORTH BEND, NE 68649-5003
(402) 652-3670
Mailing address
PO BOX 396, NORTH BEND, NE 68649-0396
(402) 652-3670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4322
NE
Other
Enumeration date
09/14/2006
Last updated
03/03/2015
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