Individual
MICHAELA JILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
615 E 14TH ST, DES MOINES, IA 50316-3537
(515) 262-2655
Mailing address
4123 NW 13TH ST, ANKENY, IA 50023-9342
(515) 778-3768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10146
IA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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