Organization
THOMAS B JOHNSON DMD PLLC
Active
Other names
KETTLE FALLS FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS B JOHNSON DMD (OWNER)
(509) 738-6880
Entity
Organization
Contact information
Practice address
130 W 10TH AVE, KETTLE FALLS, WA 99141-8666
(509) 738-6880
(509) 738-6824
Mailing address
130 W 10TH AVE, KETTLE FALLS, WA 99141-8666
(509) 738-6880
(509) 738-6824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011072
WA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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