MR. Timothy Mark Johnson, DDS

NPI #1073671350 in St Francis, Minnesota

Provider Information

NPI Number
1073671350
Entity Type
Individual
Name
MR. Timothy Mark Johnson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Dec 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3715 BRIDGE ST
ZIP Code
55070
Phone
(763) 753-1900

Specialties & Taxonomy Codes

Specialty
Dentist

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