Individual
DR. NEIL JAMES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
15290 PENNOCK LN, APPLE VALLEY, MN 55124-7163
(952) 431-8583
Mailing address
4236 BEARD AVE N, ROBBINSDALE, MN 55422-1455
(612) 709-9090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12989
MN
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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