Organization
WISE OPTION DENTAL PLLC
Active
Other names
Wise Decision
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY JOHNSON DDS (OWNER/PRESIDENT)
(612) 834-2512
Entity
Organization
Contact information
Practice address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(612) 578-8893
Mailing address
320 CALAMUS CIR, MEDINA, MN 55340-9228
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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