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1043361975
MARK JOSEPH JOHNSON
RICHFIELD, MN
NPI
1043361975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 9038)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Dr. MARK JOSEPH JOHNSON dds
98 W 66TH ST
RICHFIELD, MN 55423-2511
Phone number: 612-866-1005
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Mailing Address
Dr. MARK JOSEPH JOHNSON dds
657 WESLEY LN
MENDOTA HEIGHTS, MN 55118-4347
Phone number: 651-454-2104
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