Individual
DR. KRIS DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11800 ABERDEEN ST. NE, SUITE 140, BLAINE, MN 55449
(763) 772-0330
(763) 772-0354
Mailing address
11800 ABERDEEN ST. NE, SUITE 140, BLAINE, MN 55449
(763) 772-0330
(763) 772-0354
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D10585
MN
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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