Individual
ROBERT EDWARD JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
5726 LAKE WASHINGTON BLVD NE STE S2, KIRKLAND, WA 98033-7398
(425) 284-0515
Mailing address
5726 LAKE WASHINGTON BLVD NE STE S2, KIRKLAND, WA 98033-7398
(425) 284-0515
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DE60978946
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
10/21/2025
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