# CHRISTINE JOHNSON, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518006949
- **Authorized official:** DR. CHRISTINE JOHNSON D.D.S. (OWNER)
- **Authorized official phone:** (360) 855-1689

## Contact information

- **Practice address:** 825 MURDOCK ST, SEDRO WOOLLEY, WA 98284-1451
- **Practice address phone:** (360) 855-1689
- **Mailing address:** 825 MURDOCK ST, SEDRO WOOLLEY, WA 98284-1451
- **Mailing address phone:** (360) 855-1689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00006322 | WA | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 06/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5008479 | DSHS | WA |