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1215949045
MARK STEVEN JOHNSON
RICHFIELD, MN
NPI
1215949045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 9555)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
-- MARK STEVEN JOHNSON D.D.S.
6601 LYNDALE AVE S SUITE 220
RICHFIELD, MN 55423-2477
Phone number: 612-861-9109
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Mailing Address
-- MARK STEVEN JOHNSON D.D.S.
4521 HERITAGE HILLS CIR
BLOOMINGTON, MN 55437-2856
Phone number:
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