Organization
AMANDA JOHNSON, DDS, PC
Active
Other names
Badlands Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA ANGEL JOHNSON DDS (PRESIDENT)
(701) 483-1385
Entity
Organization
Contact information
Practice address
389 15TH ST W, DICKINSON, ND 58601-3017
(701) 483-1385
(701) 483-1388
Mailing address
389 15TH ST W, DICKINSON, ND 58601-3017
(701) 483-1385
(701) 483-1388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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