Individual
MR. DONALD ALLEN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6945 PENN AVE S, RICHFIELD, MN 55423
(612) 866-2233
Mailing address
10234 QUEEN AVE S, BLOOMINGTON, MN 55431
(952) 888-0008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7920
MN
Other
Enumeration date
11/25/2005
Last updated
07/08/2007
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