Individual
DR. RICHARD EDWIN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
229 JACKSON ST, 117, ANOKA, MN 55303-2287
(763) 421-3330
(763) 421-3331
Mailing address
18057 BARIUM ST NW, RAMSEY, MN 55303-3391
(763) 753-6371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9277
MN
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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