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Individual

TAYLA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 CITY CTR, OSHKOSH, WI 54901-4830
(920) 731-7445
Mailing address
119 N MCCARTHY RD STE S, APPLETON, WI 54913-9111
(920) 750-6374

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
700190916
WI

Other

Enumeration date
06/04/2026
Last updated
06/04/2026
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