Individual
DR. MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 WASHINGTON AVE, IRVINGTON, NJ 07111
(973) 399-5000
(973) 375-2630
Mailing address
320 SOUTH MAIN STREET, 2ND FLR, PHILLIPSBURG, NJ 08865
(908) 387-6120
(908) 387-8322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI021390
NJ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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