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Organization
MARK J JOHNSON DDS PA
Active
Organization
MARK J JOHNSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J JOHNSON DDS (OWNER)
(952) 941-1911
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S STE 310, EDINA, MN 55435-1803
(952) 941-1911
Mailing address
6600 FRANCE AVE S STE 310, EDINA, MN 55435-1803
(952) 941-1911
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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