Individual
DR. RICHARD CARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
907 N 130TH ST, SEATTLE, WA 98133-7568
(206) 362-6116
Mailing address
13250 RIVIERA PL NE, SEATTLE, WA 98125-4645
(206) 367-1440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3694
WA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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