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Individual

DR. BENJAMIN REED JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
601 S CARR RD, SUITE 300, RENTON, WA 98055-5866
(425) 466-1185
Mailing address
601 S CARR RD, SUITE 300, RENTON, WA 98055-5866
(425) 466-1185

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028413
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60204550
WA

Other

Enumeration date
09/22/2010
Last updated
07/28/2014
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