Mark Johnson, DDS
NPI 1245388255 · on the registry since 2007 · sole proprietor
Practice
- Address
- 93 Oak Avenue
3
Annandale, MN 55302 - Phone
- (320) 274-2475
- Fax
- (320) 274-3152
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota