Individual
GORDON MACDONALD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
200 GILKEY RD, BURLINGTON, WA 98233-2822
(360) 757-4909
Mailing address
200 GILKEY RD, BURLINGTON, WA 98233-2822
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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