Taylor Johnson

NPI #1396398160 in Blaine, Minnesota

Provider Information

NPI Number
1396398160
Entity Type
Individual
Name
Taylor Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 22, 2019
Last Updated
Jul 22, 2019

Practice Location

Address
10155 UNIVERSITY AVE NE STE 112
City
Blaine
ZIP Code
55434-8058
Phone
(763) 784-1242

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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