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Individual
DEAN B JOHNSON
Active
Individual
DEAN B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D3933
ID
122300000X
Dentist
Primary
DE00010566
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
140755 9921
UT
Other
Enumeration date
01/31/2007
Last updated
04/16/2020
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