Mariah Johnson, DDS

NPI #1497597645 in Hudson, Wisconsin

Provider Information

NPI Number: 1497597645
Entity Type: Individual
Name: Mariah Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 10, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 2400 FOXGLOVE WAY STE 1
City: Hudson
State: Wisconsin
ZIP Code: 54016-4537
Phone: (715) 386-9711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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