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Individual

ASHLEY K JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1600 THORPE RD, LAS CRUCES, NM 88012-9776
(505) 382-9292
(505) 382-2061
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(505) 267-3286
(505) 267-1747

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2925
NM

Other

Enumeration date
08/07/2007
Last updated
10/15/2008
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