Organization
JOHNSON FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN A. ANDREWS DDS (OWNER)
(701) 662-4961
Entity
Organization
Contact information
Practice address
503 3RD ST NE, DEVILS LAKE, ND 58301-3015
(701) 662-4961
(701) 662-4962
Mailing address
503 3RD ST NE, DEVILS LAKE, ND 58301-3015
(701) 662-4961
(701) 662-4962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40104
—
ND
Enumeration date
05/15/2008
Last updated
08/11/2015
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