Kirby Melvin Johnson, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Spicer, MN
- NPI
- 1629473442
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D13361 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-10-23
- Last updated
- 2023-01-27
Practice location
163 Highway 23 Ne Ste 1
Spicer, MN 56288-9735
(320) 796-2158