Individual
MRS. KERI ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
(360) 571-3149
Mailing address
PO BOX 1539, WOODLAND, WA 98674-1400
(360) 571-3139
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
WA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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