Individual
TINA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
301 W 6TH AVE, DENVER, CO 80204-5182
(303) 602-8200
Mailing address
7585 S ANVIL HORN, LITTLETON, CO 80127-3839
(303) 638-6526
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000201901
CO
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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