JOHN BERNARD JOHNSON

PORTAGE, IN
NPI1366583387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12007783A)
Enumeration Date2007-02-11
Last Update Date2007-07-08
Business Address
Dr. JOHN BERNARD JOHNSON D.D.S.
6215 CENTRAL AVE
PORTAGE, IN 46368-3725
Phone number: 219-763-1502
Mailing Address
Dr. JOHN BERNARD JOHNSON D.D.S.
6215 CENTRAL AVE
PORTAGE, IN 46368-3725
Phone number: 219-763-1502
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