Individual
MRS. ANGELA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1316 MCMILLAN ST, WORTHINGTON, MN 56187-1646
(507) 376-5525
(507) 376-3796
Mailing address
1316 MCMILLAN ST, WORTHINGTON, MN 56187-1646
(507) 376-5525
(507) 376-3796
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
02835
IA
124Q00000X
Dental Hygienist
927
SD
124Q00000X
Dental Hygienist
Primary
H6499
MN
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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