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Dr. Lisa Mari Johnson, DDS
General Practice Dentistry in Grand Rapids, Minnesota
NPI 1730242215

Lisa Mari Johnson is a General Practice Dentistry based in Grand Rapids, MN and is specialized in General Practice. Lisa Mari Johnson practices in Grand Rapids, MN and has the professional credentials of DDS. The NPI Number for Lisa Mari Johnson is 1730242215 and holds a License No. 11285 (Minnesota).

The current practice location address for Lisa Mari Johnson is 1015 Nw 4Th St, Grand Rapids, MN and can be reached out via phone at 218-326-0339 and via fax at 218-326-6210.

Location: 1015 Nw 4Th St, Grand Rapids, MN, 55744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730242215
Provider Name
Lisa Mari Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1015 Nw 4Th St, Grand Rapids, MN, 55744
Phone Number
218-326-0339
Fax Number
218-326-6210
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1015 Nw 4Th St
City
Grand Rapids
State
Minnesota
Zip
55744
Phone Number
218-326-0339
Fax Number
218-326-6210
person
Provider Business Mailing Address Details
Address
1015 Nw 4Th St
City
Grand Rapids
State
Minnesota
Zip
55744
Phone Number
218-326-0339
Fax Number
218-326-6210
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11285 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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