Amber Marissa Johnson

NPI #1912169855 in Lac Du Flambeau, Wisconsin

Provider Information

NPI Number: 1912169855
Entity Type: Individual
Name: Amber Marissa Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 1, 2008
Last Updated: Jul 1, 2008

Practice Location

Address: 450 OLD ABE RD
City: Lac Du Flambeau
State: Wisconsin
ZIP Code: 54538-9682
Phone: (715) 588-4280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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