William S Johnston Dds Pa | |
1545 Livington Ave Suite 101 W St Paul MN 55118 | |
(651) 455-0505 | |
(651) 455-0625 |
Full Name | William S Johnston Dds Pa |
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Speciality | Dentist |
Location | 1545 Livington Ave Suite 101, W St Paul, Minnesota |
Authorized Official Name and Position | William S Johnston (OWNER DENTIST) |
Authorized Official Contact | 6514550505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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William S Johnston Dds Pa 1545 Livington Ave Suite 101 W St Paul MN 55118 Ph: (651) 455-0505 | William S Johnston Dds Pa 1545 Livington Ave Suite 101 W St Paul MN 55118 Ph: (651) 455-0505 |
NPI Number | 1952569220 |
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Provider Enumeration Date | 05/23/2008 |
Last Update Date | 05/23/2008 |
Identifier | Type | State | Issuer |
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1952569220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 10556 (Minnesota) | Primary |