Individual
DR. JESSICA MAIRE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2121
(816) 235-5526
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2121
(816) 235-5526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61001
KS
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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