DR. Kenneth George Johnsen, DDS
NPI #1134204811 in Kent, Washington
Provider Information
- NPI Number
- 1134204811
- Entity Type
- Individual
- Name
- DR. Kenneth George Johnsen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 314 FOURTH AVENUE SOUTH
- City
- Kent
- State
- Washington
- ZIP Code
- 98032-5836
- Phone
- (253) 859-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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