Most Relevant Information
Provider Data
| NPI Number: | 1003263377 |
| Provider Name: | ALLISON MARIE JOHNSON KASSEN D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D13660 |
Most Important Dates
| Enumeration Date: | 05/17/2016 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
1000 RADIO DR STE 240
WOODBURY
MN
551258444
Practice Location Phone/Fax
| Phone: | 6517391894 |
| Fax: |
Provider Mailing Location
1000 RADIO DR STE 240
WOODBURY
MN
551258444
Provider Mailing Phone/Fax
| Phone: | 6513439776 |
| Fax: |