Whitney Wolfe Johnson

NPI #1225601008 in Lebanon, Missouri

Provider Information

NPI Number: 1225601008
Entity Type: Individual
Name: Whitney Wolfe Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jul 20, 2021
Last Updated: Jul 20, 2021

Practice Location

Address: 1180 LYNN ST
City: Lebanon
State: Missouri
ZIP Code: 65536-3800
Phone: (417) 532-7166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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