Individual
MR. DANIEL THEODORE JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5995 OREN AVE NORTH, SUITE 101, STILLWATER, MN 55082-5302
(651) 439-7071
(651) 439-0500
Mailing address
5995 OREN AVE NORTH, SUITE 101, STILLWATER, MN 55082-5302
(651) 439-7071
(651) 439-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10105
MN
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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