Kevin J Johnson, D.D.S.

NPI #1821161910 in Bemidji, Minnesota

Provider Information

NPI Number
1821161910
Entity Type
Individual
Name
Kevin J Johnson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 16, 2006
Last Updated
Dec 21, 2009

Practice Location

Address
603 BEMIDJI AVE N
ZIP Code
56601-3015
Phone
(218) 751-4523

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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