Organization
KRISTA JOHNSON DMD PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA JOHNSON DMD (OWNER)
(701) 526-4652
Entity
Organization
Contact information
Practice address
1650 45TH ST S STE 108, FARGO, ND 58103-3247
(701) 526-4652
(701) 282-2572
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2272
ND
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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