DR. Jeffrey Johnson
NPI #1114140712 in Bellevue, Washington
Provider Information
- NPI Number
- 1114140712
- Entity Type
- Individual
- Name
- DR. Jeffrey Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5611 119TH AVE SE
- Address 2
- SUITE 5
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98006-3799
- Phone
- (425) 644-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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