Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3986 N OCEANA DR, HART, MI 49420-8358
(231) 893-3808
Mailing address
3986 N OCEANA DR, HART, MI 49420-8358
(231) 893-3808
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014126
MI
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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