Individual
MALIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-9750
(231) 745-0412
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-2736
(231) 745-0412
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902021302
MI
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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