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1174851596
JERROLD STUART JOHNSON
SILVERDALE, WA
NPI
1174851596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA DE00009912)
Enumeration Date
2009-11-23
Last Update Date
2009-11-23
Business Address
Dr. JERROLD STUART JOHNSON DDS, MS
3511 BUCKLIN HILL RD. NW
SILVERDALE, WA 98383
Phone number: 360-337-2020
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Mailing Address
Dr. JERROLD STUART JOHNSON DDS, MS
3511 NW BUCKLIN HILL ROAD
SILVERDALE, WA 98383
Phone number: 360-337-2020
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