Individual
SAVANNAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2442 MOUNDS VIEW BLVD, SAINT PAUL, MN 55112-1478
(763) 316-5400
Mailing address
3155 INDIANA AVE N, ROBBINSDALE, MN 55422-3109
(612) 720-6566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14729
MN
Other
Enumeration date
03/21/2022
Last updated
12/18/2024
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