Individual
DR. DWIGHT LAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1129 S 2ND AVE STE D, WALLA WALLA, WA 99362-4100
(509) 516-1200
(509) 516-1209
Mailing address
1129 S 2ND AVE STE D, WALLA WALLA, WA 99362-4100
(509) 516-1200
(509) 516-1209
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
376097-9921
UT
1223P0300X
Periodontics
D-3382
ID
1223P0300X
Periodontics
Primary
DE00010960
WA
Other
Enumeration date
12/29/2005
Last updated
09/14/2022
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