Johanna Thiesen-Root, RDH

NPI #1063623510 in Albany, New York

Provider Information

NPI Number: 1063623510
Entity Type: Individual
Name: Johanna Thiesen-Root, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 314 S MANNING BLVD
City: Albany
State: New York
ZIP Code: 12208-1708
Phone: (518) 453-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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