Individual
BROOKLYNN KAYE JOHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT,RDH
Contact information
Practice address
2 EVERGREEN DR, OAKLAND, ME 04963-5364
(207) 861-5801
Mailing address
2 EVERGREEN DR, OAKLAND, ME 04963-5364
(207) 861-5801
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H11055
MN
124Q00000X
Dental Hygienist
RDH4471
ME
125J00000X
Dental Therapist
DT142
MN
125J00000X
Dental Therapist
Primary
RDH4471
ME
Other
Enumeration date
08/30/2021
Last updated
05/13/2025
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