MR. Daniel Theodore Johnson JR., DDS
NPI #1922160332 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1922160332
- Entity Type
- Individual
- Name
- MR. Daniel Theodore Johnson JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5995 OREN AVE NORTH
- Address 2
- SUITE 101
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-5302
- Phone
- (651) 439-7071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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