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1134204811
KENNETH GEORGE JOHNSEN
KENT, WA
NPI
1134204811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 4165)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Dr. KENNETH GEORGE JOHNSEN DDS
314 FOURTH AVENUE SOUTH
KENT, WA 98032-5836
Phone number: 253-859-2111
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Mailing Address
Dr. KENNETH GEORGE JOHNSEN DDS
314 FOURTH AVENUE SOUTH
KENT, WA 98032-5836
Phone number: 253-859-2111
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