Individual
MR. JAMES ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1233 COLE STREET, ENUMCLAW, WA 98022-2602
(360) 825-5527
(360) 802-2563
Mailing address
1233 COLE ST, ENUMCLAW, WA 98022-2602
(360) 825-5527
(360) 802-2563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5037064
—
WA
01
—
8188
DENTAL SERVICE DELTA
WA
Enumeration date
10/11/2006
Last updated
12/23/2011
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