Individual
LAAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
96 FLAT ROCK RD, MORRISONVILLE, NY 12962-2806
(518) 534-2768
Mailing address
96 FLAT ROCK RD, MORRISONVILLE, NY 12962-2806
(518) 534-2768
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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