Organization
METRO DENTALCARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTI ANNE JOHNSON D.D.S. (DENTIST)
(612) 861-9123
Entity
Organization
Contact information
Practice address
17597 CEDAR AVE, LAKEVILLE, MN 55044-5269
(952) 431-6600
(952) 431-6606
Mailing address
PO BOX 23029, RICHFIELD, MN 55423-0029
(612) 861-9123
(612) 861-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11776
MN
Other
Enumeration date
02/27/2006
Last updated
08/22/2020
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