Individual
DR. DOUGLAS HAROLD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 PENDLETON WAY, WASHOUGAL, WA 98671-4203
(360) 835-3738
Mailing address
275 PENDLETON WAY, WASHOUGAL, WA 98671-4203
(360) 835-3738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5942
WA
Other
Enumeration date
02/22/2007
Last updated
04/30/2008
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