JASON JOHNSON

SAINT PAUL, MN
NPI1285605287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  D12015)
Enumeration Date2006-01-28
Last Update Date2007-07-08
Business Address
-- JASON JOHNSON
828 HAWTHORNE ST E
SAINT PAUL, MN 55106-3252
Phone number: 651-774-2959
Mailing Address
-- JASON JOHNSON
4936 BIRCH LAKE CIR
WHITE BEAR LAKE, MN 55110-6749
Phone number: