Individual
DR. JEREMY LEONARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14650 N KELSEY ST # 104-105, MONROE, WA 98272-1456
(360) 794-8580
(844) 470-1798
Mailing address
14650 N KELSEY ST #104-105, MONROE, WA 98272
(360) 794-8580
(844) 470-1798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009214
WA
Other
Enumeration date
08/29/2006
Last updated
07/21/2022
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