Individual
KARL GUSTAVE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 CENTRAL AV, OSSEO, MN 55369
(763) 425-3023
(763) 425-8450
Mailing address
PO BOX 23029, RICHFIELD, MN 55423
(612) 861-9123
(612) 861-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11709
MN
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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