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1811081540
MARK A JOHNSON
VANCOUVER, WA
NPI
1811081540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA 6095)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. MARK A JOHNSON DDS
300 SE 120TH AVE SUITE 200
VANCOUVER, WA 98683-4090
Phone number: 360-254-1590
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Mailing Address
Dr. MARK A JOHNSON DDS
300 SE 120TH AVE SUITE 200
VANCOUVER, WA 98683-4090
Phone number: 360-254-1590
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