Individual
MICHAEL S. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2701 9TH AVE S STE F, FARGO, ND 58103-8712
(701) 364-9990
(701) 364-9990
Mailing address
2701 9TH AVE S STE F, FARGO, ND 58103-8712
(701) 364-9990
(701) 364-9990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2176
ND
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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