Organization
DR. WARREN JOHNSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN D JOHNSON DDS (OWNER/PRACTICE)
(507) 334-5602
Entity
Organization
Contact information
Practice address
422 HERITAGE PLACE, FARIBAULT, MN 55021
(507) 334-5602
(507) 334-3488
Mailing address
422 HERITAGE PLACE, FARIBAULT, MN 55021
(507) 334-5602
(507) 334-3488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7748
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
950017100
—
MN
Enumeration date
04/24/2009
Last updated
04/24/2009
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