Individual
DR. HILLARY NOELLE MASHAK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
654 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9632
(612) 712-5825
Mailing address
3601 PARK CENTER BLVD APT 715, ST LOUIS PARK, MN 55416-2565
(608) 632-2566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14149
MN
Other
Enumeration date
06/03/2019
Last updated
01/02/2020
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