| Kissendrah Sue Johnson, | |
|
01 Sagebrush Street, Isleta, NM 87022 | |
| (505) 869-4866 | |
| (502) 869-4881 |
| Full Name | Kissendrah Sue Johnson |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 01 Sagebrush Street, Isleta, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124502984 | NPI | - | NPPES |
| DD4977 | Other | NM | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD4977 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kissendrah Sue Johnson, Po Box 640, Isleta, NM 87022-0640 Ph: (505) 869-3200 | Kissendrah Sue Johnson, 01 Sagebrush Street, Isleta, NM 87022 Ph: (505) 869-4866 |
Dr. Devin Kyle Giron, DDS Dentist Medicare: Medicare Enrolled Practice Location: 01 Sagebrush Street, Isleta, NM 87022 Phone: 506-869-3200 Fax: 505-869-4881 | |
Stephen Hubbert, DDS Dentist Medicare: Medicare Enrolled Practice Location: 01 Sagebrush, Isleta, NM 87022 Phone: 505-869-4863 Fax: 505-869-4881 | |
Dr. John James Richter Iii, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1 Sagebrush St, Isleta, NM 87022 Phone: 505-869-4499 |