Individual
DR. KARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
(952) 938-8533
Mailing address
2403 HUNTER DR, CHANHASSEN, MN 55317-8431
(952) 470-8443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10769
STATE DENTAL LICENSE
MN
Enumeration date
11/14/2006
Last updated
07/09/2007
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