Individual
DR. QUANDA ZAVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
25101 COOLIDGE HWY, OAK PARK, MI 48237-1404
(248) 547-9626
(248) 547-0608
Mailing address
25101 COOLIDGE HWY, OAK PARK, MI 48237-1404
(248) 547-9626
(248) 547-0608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017738
MI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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