Bryan D. Johnson, Dds, PA
NPI #1043208267 in Madison Lake, Minnesota
Provider Information
- NPI Number
- 1043208267
- Entity Type
- Organization
- Organization Name
- Bryan D. Johnson, Dds, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 11, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 516 MAIN STREET
- City
- Madison Lake
- State
- Minnesota
- ZIP Code
- 56063
- Phone
- (507) 243-3747
Authorized Official
- Name
- DR. BRYAN D. JOHNSON, DDS
- Title
- DENTIST
- Phone
- (507) 243-3747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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