DR. Mark Joseph Johnson, DDS

NPI #1043361975 in Richfield, Minnesota

Provider Information

NPI Number
1043361975
Entity Type
Individual
Name
DR. Mark Joseph Johnson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
98 W 66TH ST
ZIP Code
55423-2511
Phone
(612) 866-1005

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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