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1720022387
MICHAEL A JOHNSON
EVANSTON, IL
NPI
1720022387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019023999)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL A JOHNSON D,D,S
820 DAVIS ST SUITE 460
EVANSTON, IL 60201-4431
Phone number: 847-332-2226
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Mailing Address
Dr. MICHAEL A JOHNSON D,D,S
820 BRAINARD RD
HIGHLAND HEIGHTS, OH 44143-3106
Phone number:
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