Individual
DR. BRANDON MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
37624 SE FURY ST, SUITE C220, SNOQUALMIE, WA 98065-9680
(425) 292-6162
(425) 292-6163
Mailing address
37624 SE FURY ST, SUITE C220, SNOQUALMIE, WA 98065-9680
(425) 292-6162
(425) 292-6163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10329
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60327979
WA
Other
Enumeration date
11/12/2010
Last updated
02/24/2016
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