Individual
MICHIA JOHNSON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3450 OLD WASHINGTON RD, SUITE 200, WALDORF, MD 20602-3248
(301) 645-6556
Mailing address
3450 OLD WASHINGTON RD, SUITE 200, WALDORF, MD 20602-3248
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15550
MD
Other
Enumeration date
04/17/2013
Last updated
01/20/2023
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