| M.s. Johnson Pc | |
|
117 N Washington St Grand Forks ND 58203-3450 | |
| (701) 746-1481 | |
| (701) 746-6201 |
| Full Name | M.s. Johnson Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 117 N Washington St, Grand Forks, North Dakota |
| Authorized Official Name and Position | Michael Scott Johnson (PRESIDENT) |
| Authorized Official Contact | 7017461481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.s. Johnson Pc 117 N Washington St Grand Forks ND 58203-3450 Ph: (701) 746-1481 | M.s. Johnson Pc 117 N Washington St Grand Forks ND 58203-3450 Ph: (701) 746-1481 |
| NPI Number | 1568903243 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568903243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2176 (North Dakota) | Primary |
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