Mary Beth Johnson DDS

NPI 1437292570 - Dentist - 1223P0221X

NPI Details
NPI 1437292570
Gender Female
Enumeration Date 02/15/2007
Last Updated 06/26/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
HWY 264, MP 388
POLACCA AZ, 86042, US
Phone (928) 737-6162
Fax
Business Location
HOPI HEALTH CARE CENTER KEAMS CANYON S.U.
PO BOX 4000
POLACCA AZ, 86042, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Ohio
License Number 30-020478
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According to our database, Dr. Mary Beth Johnson DDS NPI is 1437292570, taxonomy code is 1223P0221X and license number is 30-020478, license state is located at Ohio. Mary Beth Johnson DDS physically located at Hwy 264, Mp 388, Polacca AZ, 86042. NPI Number Mary Beth Johnson DDS has the Individual type.

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1437292570 NPI number is provided on an as is basis without warranty of any kind. 1437292570 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Beth Johnson DDS are for informational purposes only.