Kristopher Allan Johnson, DDS Valid NPI
Individual provider · General Practice Dentistry · Mukilteo, WA
- NPI
- 1790736825
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DE00006286 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-05-13
- Last updated
- 2007-07-08
Practice location
4407 106th St Sw, Suite A
Mukilteo, WA 98275-4750
(425) 348-8484