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Organization
ST. ANTHONY'S FAMILY DENTISTRY, LLC
Active
Organization
ST. ANTHONY'S FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D. JOHNSON DDS (PRESIDENT)
(253) 857-2483
Entity
Organization
Contact information
Practice address
11511 CANTERWOOD BLVD NW, STE. 120, GIG HARBOR, WA 98332-5813
(253) 857-2483
Mailing address
11511 CANTERWOOD BLVD NW, STE. 120, GIG HARBOR, WA 98332-5813
(253) 857-2483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5841
WA
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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