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DR. RICHARD BRENT JOHNSON DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1528155843

Individual Registrant:
DR. RICHARD BRENT JOHNSON DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
102 SUPERIOR AVE  BARAGA, MI 49908 US
Tel: 906-353-8700  Fax: 906-353-8799

Contact information for business:
102 SUPERIOR AVE  BARAGA, MI 49908 US
Tel: 906-353-8700  Fax: 906-353-8799

Registration Information:
NPI: 1528155843
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MI2901016942

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
3272050MI05




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