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Individual

DR. MARIANNE MARTIN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MPH

Contact information

Practice address
3070 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5778
(828) 695-2101
Mailing address
254 CLARK COVE RD, STATESVILLE, NC 28677-9029
(704) 528-0461

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4398
NC

Other

Enumeration date
04/10/2007
Last updated
07/08/2007
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