Organization
RED RIVER DENTAL CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALAN JOHNSON DDS (OWNER)
(218) 773-3004
Entity
Organization
Contact information
Practice address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
(218) 773-3006
Mailing address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
(218) 773-3006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13228
MN
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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