Kirby Charles Johnson DDS

NPI 1023045341 - Dentist - 1223S0112X

NPI Details
NPI 1023045341
Gender Male
Enumeration Date 06/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3905 SILVER LAKE RD
ST ANTHONY MN, 55421, US
Phone (612) 788-9246
Fax (612) 788-5511
Business Location
320 CALAMUS CIRCLE
MEDINA MN, 55340, US
Phone (612) 788-9246
Fax (612) 788-5511
Toxanomy
Taxonomy Code 1223S0112X
License State Minnesota
License Number 10472DDS
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According to our database, Dr. Kirby Charles Johnson DDS NPI is 1023045341, taxonomy code is 1223S0112X and license number is 10472DDS, license state is located at Minnesota. Kirby Charles Johnson DDS physically located at 3905 Silver Lake Rd, St Anthony MN, 55421. NPI Number Kirby Charles Johnson DDS has the Individual type.

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1023045341 NPI number is provided on an as is basis without warranty of any kind. 1023045341 is maintained by the National Plan & Provider Enumeration System. The contents of Kirby Charles Johnson DDS are for informational purposes only.