Blaine Johns

NPI #1073989497 in Jackson, Michigan

Provider Information

NPI Number: 1073989497
Entity Type: Individual
Name: Blaine Johns
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 19, 2015
Last Updated: Aug 19, 2015

Practice Location

Address: 7040 MCKAY RD
City: Jackson
State: Michigan
ZIP Code: 49201-9261
Phone: (517) 740-2596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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