Individual
DR. BRYAN CARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 COLUMBIA ST STE B, WOODLAND, WA 98674-8491
(360) 225-5600
Mailing address
500 COLUMBIA ST STE B, WOODLAND, WA 98674-8491
(360) 225-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8734
WA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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