Individual
KRISTY LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2647 SUPERIOR DR NW, ROCHESTER, MN 55901-8525
(304) 841-3063
Mailing address
2647 SUPERIOR DR NW, ROCHESTER, MN 55901-8525
(304) 841-3063
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S110
MN
Other
Enumeration date
09/14/2013
Last updated
08/10/2021
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