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Individual

STEPHEN P JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3 SUNSET PLZ, KALISPELL, MT 59901-3660
(406) 752-1166
(406) 752-1171
Mailing address
3 SUNSET PLZ, KALISPELL, MT 59901-3660
(406) 752-1166
(406) 752-1171

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1296
MT

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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