Individual
DR. WESLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10110 SOUTH 7650 EAST, CROW AGENCY, MT 59022
(406) 638-3470
Mailing address
12897 VALLEY RD, LISBON, ND 58054-9707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13407
MN
Other
Enumeration date
06/24/2014
Last updated
07/15/2021
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