Individual
DR. BRYAN D. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
PO BOX 458, 516 MAIN ST., MADISON LAKE, MN 56063-0458
(507) 243-3747
(507) 243-3866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9815
MN
Other
Enumeration date
12/21/2006
Last updated
01/31/2024
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