Randall Warren Johnson DDS

NPI 1659482669 - Dentist - 1223G0001X

NPI Details
NPI 1659482669
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
304 W LYON ST
MARSHALL MN, 56258-1308, US
Phone (507) 532-2233
Fax (507) 532-2234
Business Location
304 W LYON ST
PO BOX 448
MARSHALL MN, 56258-1308, US
Phone (507) 532-2233
Fax (507) 532-2234
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D7816
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According to our database, Randall Warren Johnson DDS NPI is 1659482669, taxonomy code is 1223G0001X and license number is D7816, license state is located at Minnesota. Randall Warren Johnson DDS physically located at 304 W Lyon St, Marshall MN, 56258-1308. NPI Number Randall Warren Johnson DDS has the Individual type.

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1659482669 NPI number is provided on an as is basis without warranty of any kind. 1659482669 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Warren Johnson DDS are for informational purposes only.