Individual
JENELLE RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3800 N YORK ST, DENVER, CO 80205-3540
(303) 296-4873
Mailing address
3800 N YORK ST, DENVER, CO 80205-3540
(303) 296-4873
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905324
CO
Other
Enumeration date
01/30/2019
Last updated
11/17/2020
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