Individual
DR. CRAIG ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
(218) 773-3006
Mailing address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
(218) 773-3006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13228
MN
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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