Christopher M Johnson DDS

NPI 1093704124 - Dentist - 1223G0001X

NPI Details
NPI 1093704124
Gender Male
Enumeration Date 10/20/2005
Last Updated 11/11/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
425 2ND ST
EXCELSIOR MN, 55331-2038, US
Phone (952) 474-6133
Fax (952) 474-7361
Business Location
EDEN PRAIRIE MN, 55347-4918, US
Phone (952) 941-9007
Taxonomy Code 1223G0001X
License State Minnesota
License Number D11061
Remove 1093704124 NPI Number

According to our database, Christopher M Johnson DDS NPI is 1093704124, taxonomy code is 1223G0001X and license number is D11061, license state is located at Minnesota. Christopher M Johnson DDS physically located at 425 2nd St, Excelsior MN, 55331-2038. NPI Number Christopher M Johnson DDS has the Individual type.

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1093704124 NPI number is provided on an as is basis without warranty of any kind. 1093704124 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher M Johnson DDS are for informational purposes only.