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Richard C Johnson, LD
Denturist in Tacoma, Washington
NPI 1679782973

Richard C Johnson is a Denturist based in Tacoma, WA. Richard C Johnson practices in Tacoma, WA and has the professional credentials of LD. The NPI Number for Richard C Johnson is 1679782973 and holds a License No. 416 (Washington).

The current practice location address for Richard C Johnson is 3720 6Th Ave, Tacoma, WA and can be reached out via phone at 253-752-1320 and via fax at 253-752-1425.

Location: 3720 6Th Ave, Tacoma, WA, 98406-4938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679782973
Provider Name
Richard C Johnson
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
3720 6Th Ave, Tacoma, WA, 98406-4938
Phone Number
253-752-1320
Fax Number
253-752-1425
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5042817 05 WA
institution
Provider Business Practice Location Address Details
Address
3720 6Th Ave
City
Tacoma
State
Washington
Zip
98406-4938
Phone Number
253-752-1320
Fax Number
253-752-1425
person
Provider Business Mailing Address Details
Address
3720 6Th Ave
City
Tacoma
State
Washington
Zip
98406-4938
Phone Number
253-752-1320
Fax Number
253-752-1425
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
416 (Washington)
Definition
Definition to come.
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