Individual
DR. TELESHIA DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
201 RIVERWIND DR, PEARL, MS 39208-5653
(601) 955-9549
Mailing address
136 KATHRYN DR, BRANDON, MS 39042-9625
(601) 926-2978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4468-24
MS
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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