Individual
DR. BRANDON TRAVIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
426 E 8TH ST, PORT ANGELES, WA 98362-6220
(360) 457-0489
Mailing address
713 ESTES CT, PORT ANGELES, WA 98363-1452
(306) 452-0489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010678
WA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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