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Individual
TALIAH J JOHNSON
Active
Individual
TALIAH J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
(DDS)
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26137
TX
1223G0001X
General Practice Dentistry
4639
SC
Other
Enumeration date
07/13/2009
Last updated
02/18/2011
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