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Ronald Johnson, LD
Denturist in Vancouver, Washington
NPI 1841605235

Ronald Johnson is a Denturist based in Vancouver, WA. Ronald Johnson practices in Vancouver, WA and has the professional credentials of LD. The NPI Number for Ronald Johnson is 1841605235 and holds a License No. DN00000290 (Washington).

The current practice location address for Ronald Johnson is 4804 Ne Thurston Way Ste C, Vancouver, WA and can be reached out via phone at 360-892-7060. You can also correspond with Ronald Johnson through the mailing address at 3101 SE BLAIRMONT DR, VANCOUVER, WA - 98683-7653 (mailing address contact number: ).

Location: 4804 Ne Thurston Way Ste C, Vancouver, WA, 98683-7653
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Provider Profile Details
NPI Number
1841605235
Provider Name
Ronald Johnson
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
4804 Ne Thurston Way Ste C, Vancouver, WA, 98683-7653
Phone Number
360-892-7060
Fax Number
Provider Enumeration Date
06/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659484244 05 WA
institution
Provider Business Practice Location Address Details
Address
4804 Ne Thurston Way Ste C
City
State
Zip
98662-6478
Phone Number
360-892-7060
Fax Number
person
Provider Business Mailing Address Details
Address
3101 Se Blairmont Dr
City
State
Zip
98683-7653
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN00000290 (Washington)
Definition
Definition to come.
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