Individual
DR. BRET M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12109 E BROADWAY AVE STE B, SPOKANE VALLEY, WA 99206-6133
(509) 926-0570
(509) 921-9163
Mailing address
12109 E BROADWAY AVE STE B, SPOKANE VALLEY, WA 99206-6133
(509) 926-0570
(509) 921-9163
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60083394
WA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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