Individual
COLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 6TH STREET, BREMERTON, WA 98337
(360) 377-3776
Mailing address
616 6TH STREET, BREMERTON, WA 98337
(360) 377-3776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61180721
WA
Other
Enumeration date
04/30/2021
Last updated
05/10/2023
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