Organization
MARK A. JOHNSON DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A JOHNSON DDS (PRESIDENT)
(360) 254-1590
Entity
Organization
Contact information
Practice address
601 SE 117TH AVE STE 200, VANCOUVER, WA 98683-5297
(360) 254-1590
(360) 254-1939
Mailing address
601 SE 117TH AVE STE 200, VANCOUVER, WA 98683-5297
(360) 254-1590
(360) 254-1939
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6095
WA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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