Individual
CORREADA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
875 UNION AVE # C527, MEMPHIS, TN 38103-3513
(901) 448-9418
Mailing address
875 UNION AVE, C527 DUNN DENTAL, MEMPHIS, TN 38103
(901) 502-9410
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9056
TN
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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