Individual
DR. KENNETH GEORGE JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
314 FOURTH AVENUE SOUTH, KENT, WA 98032-5836
(253) 859-2111
Mailing address
314 FOURTH AVENUE SOUTH, KENT, WA 98032-5836
(253) 859-2111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4165
WA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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