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Individual
DR. NATHAN L JOHNSON
Active
Individual
DR. NATHAN L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60569432
WA
122300000X
Dentist
8303527-9923
UT
1223G0001X
General Practice Dentistry
9185
KY
Other
Enumeration date
05/23/2012
Last updated
11/12/2016
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