Nisswa Dental

NPI #1801687173 in Nisswa, Minnesota

Provider Information

NPI Number
1801687173
Entity Type
Organization
Organization Name
Nisswa Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 15, 2025
Last Updated
May 15, 2025

Practice Location

Address
25579 CHURCH ST
City
Nisswa
ZIP Code
56468-2834
Phone
(218) 963-2970

Authorized Official

Name
CRAIG BRIAN JOHNSON, DDS
Title
OWNER / DENTIST
Phone
(218) 963-2970

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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