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1770993073
ROSS LAWRENCE JOHNSON
RAPID CITY, SD
NPI
1770993073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SD D1330)
Additional Taxonomies
122300000X Dentist
(Licence: CO 00202269)
Enumeration Date
2014-05-07
Last Update Date
2022-06-01
Business Address
ROSS LAWRENCE JOHNSON DDS, MSD
2525 W MAIN ST STE 206
RAPID CITY, SD 57702-2439
Phone number: 605-663-4865
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Mailing Address
ROSS LAWRENCE JOHNSON DDS, MSD
2525 W MAIN ST
RAPID CITY, SD 57702-0901
Phone number: 605-663-4865
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