Johnson, Joseph Wong

Johnson, Joseph Wong is an individual health care provider with primary practice located at 8417 W 101St Street Cir , Bloomington MN 55438-1914. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Johnson, Joseph Wong can be contacted via phone (612) 387-2277.

Contact Information

Primary practice address
8417 W 101St Street Cir Bloomington MN 55438-1914
Phone: (612) 387-2277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X D13080 Minnesota

Profile Details

NPI number 1790042539
LBN Legal business name Johnson, Joseph Wong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated May 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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