Individual
DR. WESLEY E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 N HARRIS AVE, CLE ELUM, WA 98922-1119
(509) 674-5153
(509) 674-7354
Mailing address
PO BOX 580, CLE ELUM, WA 98922-0580
(425) 281-4203
(509) 674-7354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010944
WA
Other
Enumeration date
06/14/2007
Last updated
03/26/2019
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