Mark Steven Johnson, D.D.S.

NPI #1215949045 in Richfield, Minnesota

Provider Information

NPI Number
1215949045
Entity Type
Individual
Name
Mark Steven Johnson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6601 LYNDALE AVE S
Address 2
SUITE 220
ZIP Code
55423-2477
Phone
(612) 861-9109

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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