Individual
WILLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
155 COOK ST, STE#141, DENVER, CO 80206-5325
(303) 329-0505
(303) 329-8161
Mailing address
155 COOK ST, STE#141, DENVER, CO 80206
(303) 329-0505
(303) 329-8161
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH904999
CO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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