Organization
SOUTH HILL PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN L JOHNSON DDS, MS (PEDIATRIC DENTIST, OWNER)
(616) 485-6911
Entity
Organization
Contact information
Practice address
2020 E 29TH AVENUE, 130, SPOKANE, WA 99203
(616) 485-6911
Mailing address
2403 S CORBIN CT, GREENACRES, WA 99016-7749
(616) 485-6911
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60058099
WA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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