Individual
RICHARD C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
3720 6TH AVE, STE A, TACOMA, WA 98406-4938
(253) 752-1320
(253) 752-1425
Mailing address
3720 6TH AVE, STE A, TACOMA, WA 98406-4938
(253) 752-1320
(253) 752-1425
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5042817
—
WA
Enumeration date
05/22/2007
Last updated
07/08/2007
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