Individual
TARA KORTNEY MILLER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 BELVIDERE AVE, WASHINGTON, NJ 07882-1417
(908) 835-3500
Mailing address
23 GALA CT, LIVINGSTON, NJ 07039-5712
(818) 272-9511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02916400
NJ
Other
Enumeration date
04/02/2022
Last updated
03/21/2025
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