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ROSE MARGARETTE JOHNSON DENTAL HYGIENIST

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1396375028

Individual Registrant:
 ROSE MARGARETTE JOHNSON DENTAL HYGIENIST
Gender: F
Not Sole Proprietor

Location and contact information for practice:
24065 BIGGAR LANE  COVELO, CA 95428-9542 US
Tel: 707-983-6181  Fax: 707-983-6802

Contact information for business:
1373 CARTER WAY  REDDING, CA 96002-0337 US
Tel: 530-215-6341  Fax: --

Registration Information:
NPI: 1396375028
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CA22605
N124Q00000XDental Providers
Dental Hygienist
CA22605688

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
942151392CA05




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