Individual
ELIZABETH RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
38865 DEQUINDRE RD STE 105, TROY, MI 48083-6812
(248) 879-7756
Mailing address
4830 FOX CRK E APT 114, CLARKSTON, MI 48346-4935
(765) 461-1713
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018576
MI
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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