Individual
RONALD STEPHEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1510B E 20TH ST, FARMINGTON, NM 87401-9033
(505) 327-6151
(505) 327-7580
Mailing address
606 AREDO DE CARLOS, FARMINGTON, NM 87401-4063
(505) 326-3555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1466
NM
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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