Individual
DR. MARC G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
500 N MAIN ST, CANANDAIGUA, NY 14424-1022
(585) 394-3322
(585) 394-1175
Mailing address
500 N MAIN ST, CANANDAIGUA, NY 14424-1022
(585) 394-3322
(585) 394-1175
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048311
NY
Other
Enumeration date
09/16/2006
Last updated
04/27/2010
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