Individual
DR. MITCHELL BLAKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
735 N 185TH ST, SHORELINE, WA 98133-3901
(206) 542-7000
Mailing address
735 N 185TH ST, SHORELINE, WA 98133-3901
(206) 542-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61449772
WA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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