Individual
DR. CARL KENNETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 S CARR RD, #300, RENTON, WA 98055-5840
(425) 277-1844
(425) 271-6766
Mailing address
601 S. CARR RD, #300, RENTON, WA 98055-5840
(425) 277-1844
(425) 271-6766
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
6475
WA
Other
Enumeration date
10/02/2006
Last updated
10/07/2016
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