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Individual

DR. RICHARD IVAR JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2032 COLBY AVE, EVERETT, WA 98201-2234
(425) 258-1764
(425) 258-8073
Mailing address
2032 COLBY AVE, EVERETT, WA 98201-2234
(425) 258-1764
(425) 258-8073

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00003576
WA

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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