Individual
DR. GLEN HOWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY, RESTORATIVE DENTISTRY BOX 357456, SEATTLE, WA 98195-0001
(206) 543-5948
(206) 543-7783
Mailing address
BOX 357456, DEPARTMENT OF RESTORATIVE DENTISTRY, UNIVERSITY OF WASHINGTON, SEATTLE, WA 98195-7456
(206) 543-5948
(206) 543-7783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5146
WA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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