Teresa Evelyn Johnson DDS, MS, MPH, FASGD

NPI 1962563874 - Dentist - 1223G0001X

NPI Details
NPI 1962563874
Gender Female
Enumeration Date 12/13/2006
Last Updated 02/22/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
115 DREW AVE SE
MADELIA MN, 56062-1841, US
Phone (507) 642-8742
Fax (507) 642-2926
Business Location
115 DREW AVE SE
MADELIA MN, 56062-1841, US
Phone (507) 642-8742
Fax (507) 642-2926
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D10071
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According to our database, Teresa Evelyn Johnson DDS, MS, MPH, FASGD NPI is 1962563874, taxonomy code is 1223G0001X and license number is D10071, license state is located at Minnesota. Teresa Evelyn Johnson DDS, MS, MPH, FASGD physically located at 115 Drew Ave Se, Madelia MN, 56062-1841. NPI Number Teresa Evelyn Johnson DDS, MS, MPH, FASGD has the Individual type.

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1962563874 NPI number is provided on an as is basis without warranty of any kind. 1962563874 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Evelyn Johnson DDS, MS, MPH, FASGD are for informational purposes only.