Randall Johson, DDS

NPI 1477659589 · on the registry since 2006

Practice

Address: 2355 Ariel St N
Maplewood, MN 55104
Phone: (651) 770-0428
Fax: (651) 770-3362
Organisation at this address: Lashia Elderly Care Center
Modern Dental Professionals Mn Pc
Multicultural Adult Day Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 122300000X
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