Northland Endodontics PA

NPI #1932200037 in Blaine, Minnesota

Provider Information

NPI Number: 1932200037
Entity Type: Organization
Organization Name: Northland Endodontics PA
Primary Specialty: Dentist - Endodontics
Enumeration Date: Sep 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 11800 ABERDEEN ST NE
Address 2: SUITE 140
City: Blaine
State: Minnesota
ZIP Code: 55449-4808
Phone: (763) 772-0330

Authorized Official

Name: DR. KRIS DAVID JOHNSON, D.D.S.
Title: PRESIDENT
Phone: (763) 772-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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