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Individual

ALLISON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
234 EUGENIO MARIA DE HOSTO BLVD, BRONX, NY 10451-5504
(718) 579-5692
Mailing address
250 E 31ST ST APT 3C, NEW YORK, NY 10016-6344
(315) 528-8018

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
NY

Other

Enumeration date
06/11/2019
Last updated
06/11/2019
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