DR. Kirby Charles Johnson, DDS
NPI #1023045341 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1023045341
- Entity Type
- Individual
- Name
- DR. Kirby Charles Johnson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Jun 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3905 SILVER LAKE RD
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55421
- Phone
- (612) 788-9246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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