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Organization
KRISTA JOHNSON DMD PLLC
Active
Organization
KRISTA JOHNSON DMD PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA JOHNSON DMD (OWNER)
(701) 526-4652
Entity
Organization
Contact information
Practice address
1650 45TH ST S STE 108, FARGO, ND 58103-3247
(701) 526-4652
(701) 282-2572
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2272
ND
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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