Individual
RANDALL WARREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
304 W LYON ST, MARSHALL, MN 56258-1308
(507) 532-2233
(507) 532-2234
Mailing address
304 W LYON ST, PO BOX 448, MARSHALL, MN 56258-1308
(507) 532-2233
(507) 532-2234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7816
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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