Individual
DR. MARC ERNEST JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1407 KRESKY AVE, CENTRALIA, WA 98531-8912
(360) 736-9397
(360) 736-9397
Mailing address
1407 KRESKY AVE, CENTRALIA, WA 98531-8912
(360) 736-9397
(360) 736-9397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009235
WA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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