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1225165889
DAVID W JOHNSON
ROCKFORD, IL
NPI
1225165889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 018647-1)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Dr. DAVID W JOHNSON D.D.S.
3600 E STATE ST SUITE 206
ROCKFORD, IL 61108-1978
Phone number: 815-399-6721
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Mailing Address
Dr. DAVID W JOHNSON D.D.S.
3600 E STATE ST SUITE 206
ROCKFORD, IL 61108-1978
Phone number: 815-399-6721
Copy
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