Individual
DR. MARK W JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1070 WOODLAWN DR NE, SUITE 200, MARIETTA, GA 30068-4264
(770) 973-1070
(770) 973-4466
Mailing address
1070 WOODLAWN DR NE, SUITE 200, MARIETTA, GA 30068-4264
(770) 973-1070
(770) 973-4466
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10404
GA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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