Gordon Macdonald Johnson, LD

NPI #1053153171 in Burlington, Washington

Provider Information

NPI Number: 1053153171
Entity Type: Individual
Name: Gordon Macdonald Johnson, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Jun 10, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 200 GILKEY RD
City: Burlington
State: Washington
ZIP Code: 98233-2822
Phone: (360) 757-4909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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