Individual
DR. KRISTIN ANN JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
1421 NW 85TH ST, SEATTLE, WA 98117-4298
(206) 789-4035
(206) 789-3541
Mailing address
8505 NE 201ST PL, BOTHELL, WA 98011-2279
(408) 603-7639
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010590
WA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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