Individual
DR. JOHN DAVID BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
131 RANDOLPH STREET, PORT HADLOCK, WA 98339
(360) 385-1000
(360) 385-0899
Mailing address
PO BOX 428, PORT HADLOCK, WA 98339-0428
(360) 385-1000
(360) 385-0899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5534904
—
WA
Enumeration date
10/17/2006
Last updated
07/09/2007
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