Individual
MRS. JUDITH ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
134 PARK ST, MALONE, NY 12953-1251
(518) 481-2347
Mailing address
480 RIVER RD, MALONE, NY 12953-4014
(518) 483-9644
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021000
NY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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