DR. Jeremy Leonard Johnson, D.D.S.

NPI #1376651364 in Monroe, Washington

Provider Information

NPI Number: 1376651364
Entity Type: Individual
Name: DR. Jeremy Leonard Johnson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 29, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 14650 N KELSEY ST # 104-105
City: Monroe
State: Washington
ZIP Code: 98272-1456
Phone: (360) 794-8580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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