Individual
LESLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-5062
Mailing address
924 N BROADWAY ST, PITTSBURG, KS 66762-3910
(620) 231-6788
(620) 231-2331
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11886
KS
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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