Organization
BRYAN C JOHNSON DMD PC
Active
Other names
Lewis River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN CARL JOHNSON DMD (OWNER)
(360) 225-5600
Entity
Organization
Contact information
Practice address
500 COLUMBIA ST, SUITE B, WOODLAND, WA 98674-8491
(360) 225-5600
(360) 225-0369
Mailing address
500 COLUMBIA ST, SUITE B, WOODLAND, WA 98674-8491
(360) 225-5600
(360) 225-0369
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8734
WA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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