Individual
JUDY L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1512 N UNION BLVD STE 101, COLORADO SPRINGS, CO 80909-2884
(719) 633-2266
Mailing address
935 MARLSTONE PL, COLORADO SPRINGS, CO 80904-2986
(719) 661-1678
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3053
CO
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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