Individual
BRYAN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 S MAIN ST, MILBANK, SD 57252-1810
(605) 432-9531
(605) 432-4830
Mailing address
309 S MAIN ST, MILBANK, SD 57252-1810
(605) 432-9531
(605) 432-4830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M995
SD
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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