Individual
BECKY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
600 PROFESSIONAL DR, NORTHFIELD, MN 55057-2755
(507) 645-5264
(507) 663-0303
Mailing address
600 PROFESSIONAL DR, NORTHFIELD, MN 55057-2755
(507) 645-5264
(507) 663-0303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10699
MN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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