Individual
DR. DANIEL V JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1575 20TH ST NW STE 102, FARIBAULT, MN 55021-2932
(507) 334-5433
Mailing address
1275 RIVER VISTA ROW, UNIT 136, SAN DIEGO, CA 92111-7463
(701) 238-4306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13095
MN
Other
Enumeration date
04/27/2012
Last updated
11/07/2017
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