MARK W JOHNSON

THAYNE, WY
NPI1629121496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WY  1130)
Enumeration Date2007-01-18
Last Update Date2014-07-30
Business Address
-- MARK W JOHNSON DMD
487 N MAIN SUITE B
THAYNE, WY 83127
Phone number: 307-883-4222
Mailing Address
-- MARK W JOHNSON DMD
PO BOX 1365
THAYNE, WY 83127-1365
Phone number: 307-883-4222
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