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Organization

DRS. JOHNSON AND YSETH, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK FREDRICK YSETH D.D.S. (CHIEF FINANCIAL OFFICER)
(763) 421-3330
Entity
Organization

Contact information

Practice address
229 JACKSON ST, SUITE 117, ANOKA, MN 55303-2287
(763) 421-3330
(763) 421-3331
Mailing address
229 JACKSON ST, SUITE 117, ANOKA, MN 55303-2287
(763) 421-3330
(763) 421-3331

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9283
MN

Other

Enumeration date
11/15/2006
Last updated
08/22/2020
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