Organization
DR. R. W. JOHNSON, P.A.
Active
Other names
Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY W JOHNSON DDS (OFFICER)
(507) 532-2233
Entity
Organization
Contact information
Practice address
304 W LYON ST, MARSHALL, MN 56258-1308
(507) 532-2233
(507) 532-2234
Mailing address
304 W LYON ST, P. O. BOX 448, MARSHALL, MN 56258-1308
(507) 532-2233
(507) 532-2234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7816
MN
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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