NPI 1033247432

Mary Elizabeth Johnson, DDS

Practitioner Endodontics Edina, MN

Practice location

Address: 6545 France Ave S Suite 665, Edina, MN 55435-2131
Phone: (952) 927-8694
Fax: (952) 927-8695

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence D9559 (MN)

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Registry record

NPI: 1033247432
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.