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1114140712
JEFFREY JOHNSON
BELLEVUE, WA
NPI
1114140712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA 5715)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY JOHNSON
5611 119TH AVE SE SUITE 5
BELLEVUE, WA 98006-3799
Phone number: 425-644-0300
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Mailing Address
Dr. JEFFREY JOHNSON
5611 119TH AVE SE SUITE 5
BELLEVUE, WA 98006-3799
Phone number: 425-644-0300
Copy
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