Individual
DR. MICHAEL WILLIAM JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1370 116TH AVE NE, STE 212, BELLEVUE, WA 98004-3825
(425) 455-4993
(425) 455-5036
Mailing address
1370 116TH AVE NE, STE 212, BELLEVUE, WA 98004-3825
(425) 455-4993
(425) 455-5036
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5716
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39018
L & I PROVIDER NUMBER
WA
Enumeration date
11/17/2005
Last updated
07/08/2007
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