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Individual

DR. NICOLE MARIE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4150 CALIFORNIA AVE SW, SEATTLE, WA 98116-4102
(062) 935-1855
Mailing address
4150 CALIFORNIA AVE SW, SEATTLE, WA 98116-4102
(062) 935-1855

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE6061562
WA
1223G0001X
General Practice Dentistry
60671562
WA

Other

Enumeration date
07/28/2016
Last updated
03/11/2025
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