Organization
LIBERTY DENTAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN ELIZABETH JOHNSON DDS (OWNER)
(734) 665-0481
Entity
Organization
Contact information
Practice address
3688 W LIBERTY RD, ANN ARBOR, MI 48103-9056
(734) 665-0481
(734) 665-9134
Mailing address
3688 W LIBERTY RD, ANN ARBOR, MI 48103-9056
(734) 665-0481
(734) 665-9134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017534
MI
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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