Individual
KIRSTEN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1380 DUCKWOOD DR, SUITE 108, EAGAN, MN 55123-1090
(651) 686-6500
(651) 686-7800
Mailing address
1380 DUCKWOOD DR, SUITE 108, EAGAN, MN 55123-1090
(651) 686-6500
(651) 686-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13534
MN
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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