Individual
DR. DAVID ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
(269) 381-7250
(269) 381-7790
Mailing address
1617 E MILHAM AVE, PORTAGE, MI 49002-3049
(269) 381-7250
(269) 381-7790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014095
MI
Other
Enumeration date
04/30/2007
Last updated
08/12/2020
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