Kallie Marie Johnson D.D.S.

NPI 1750540845 - Dentist - 1223G0001X

NPI Details
NPI 1750540845
Gender Female
Enumeration Date 06/04/2008
Last Updated 12/04/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
510 W MADISON AVE
NORFOLK NE, 68701-5231, US
Phone (402) 371-9552
Fax
Business Location
510 W MADISON AVE
NORFOLK NE, 68701-5231, US
Phone (402) 371-9552
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Nebraska
License Number 6761
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According to our database, Kallie Marie Johnson D.D.S. NPI is 1750540845, taxonomy code is 1223G0001X and license number is 6761, license state is located at Nebraska. Kallie Marie Johnson D.D.S. physically located at 510 W Madison Ave, Norfolk NE, 68701-5231. NPI Number Kallie Marie Johnson D.D.S. has the Individual type.

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1750540845 NPI number is provided on an as is basis without warranty of any kind. 1750540845 is maintained by the National Plan & Provider Enumeration System. The contents of Kallie Marie Johnson D.D.S. are for informational purposes only.