Individual
DR. JERROLD STUART JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3511 BUCKLIN HILL RD. NW, SILVERDALE, WA 98383
(360) 337-2020
(360) 337-2021
Mailing address
3511 NW BUCKLIN HILL ROAD, SILVERDALE, WA 98383
(360) 337-2020
(360) 337-2021
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009912
WA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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