Individual
DR. LUCY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
VA HEALTH ANN ARBOR DENTAL SERVICE, 2215 FULLER ROAD, ANN ARBOR, MI 48105-2303
(517) 525-0997
Mailing address
VA HEALTH ANN ARBOR DENTAL SERVICE, 2215 FULLER ROAD, ANN ARBOR, MI 48105-2303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022687
MI
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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