JOHANNA THIESEN-ROOT

ALBANY, NY
NPI1063623510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NY  022336)
Enumeration Date2007-05-25
Last Update Date2007-07-08
Business Address
JOHANNA THIESEN-ROOT RDH
314 S MANNING BLVD
ALBANY, NY 12208-1708
Phone number: 518-453-2273
Mailing Address
JOHANNA THIESEN-ROOT RDH
314 S MANNING BLVD
ALBANY, NY 12208-1708
Phone number:
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