Organization
MARK R JOHNSON,DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R JOHNSON DDS (PRESIDENT)
(201) 666-2444
Entity
Organization
Contact information
Practice address
335 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-6805
(201) 666-2444
(201) 666-2444
Mailing address
335 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-6805
(201) 666-2444
(201) 666-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7937
NJ
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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