Individual
DR. JEFFREY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5611 119TH AVE SE, SUITE 5, BELLEVUE, WA 98006-3799
(425) 644-0300
(425) 643-8394
Mailing address
5611 119TH AVE SE, SUITE 5, BELLEVUE, WA 98006-3799
(425) 644-0300
(425) 643-8394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5715
WA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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