Individual
MRS. JUANITA LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
22831 26TH AVE S, DES MOINES, WA 98198-7115
(206) 250-1784
(206) 878-0813
Mailing address
PO BOX 3894, KENT, WA 98089-0394
(206) 250-1784
(206) 878-0813
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002159
WA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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