Individual
JESSICA BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1111 9TH ST STE 190, DES MOINES, IA 50314-2527
(515) 244-9136
(515) 244-9153
Mailing address
1111 9TH ST STE 190, DES MOINES, IA 50314-2527
(515) 244-9136
(515) 244-9153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8486
IA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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