Laael Johnson, RDH

NPI #1427639285 in Morrisonville, New York

Provider Information

NPI Number: 1427639285
Entity Type: Individual
Name: Laael Johnson, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Apr 14, 2021
Last Updated: Apr 14, 2021

Practice Location

Address: 96 FLAT ROCK RD
City: Morrisonville
State: New York
ZIP Code: 12962-2806
Phone: (518) 534-2768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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