Mark A Johnson, DDS Valid NPI
Individual provider · General Practice Dentistry · King, NC
- NPI
- 1417935727
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5087 (NC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-06
- Last updated
- 2007-07-09
Practice location
217 Moore Rd
King, NC 27021-8703
(336) 983-5095