St. Anthony's Family Dentistry, LLC

NPI #1386973964 in Gig Harbor, Washington

Provider Information

NPI Number: 1386973964
Entity Type: Organization
Organization Name: St. Anthony's Family Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 11511 CANTERWOOD BLVD NW
Address 2: STE. 120
City: Gig Harbor
State: Washington
ZIP Code: 98332-5813
Phone: (253) 857-2483

Authorized Official

Name: DR. MARK D. JOHNSON, DDS
Title: PRESIDENT
Phone: (253) 857-2483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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