Individual
DR. RICHARD IVAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 OLIVE WAY, 1320, SEATTLE, WA 98101-1720
(206) 622-4066
(206) 623-0646
Mailing address
509 OLIVE WAY, 1320, SEATTLE, WA 98101-1720
(206) 622-4066
(206) 623-0646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0006129
WA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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