| Todd S. Johnson, DDS, PS | |
|
501 W Market St Aberdeen WA 98520-6013 | |
| (360) 533-7120 | |
| (360) 532-1250 |
| Full Name | Todd S. Johnson, DDS, PS |
|---|---|
| Speciality | Dentist |
| Location | 501 W Market St, Aberdeen, Washington |
| Authorized Official Name and Position | Todd Johnson (OWNER) |
| Authorized Official Contact | 3605337120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd S. Johnson, DDS, PS 501 W Market St Aberdeen WA 98520-6013 Ph: (360) 533-7120 | Todd S. Johnson, DDS, PS 501 W Market St Aberdeen WA 98520-6013 Ph: (360) 533-7120 |
| NPI Number | 1063865269 |
|---|---|
| Provider Enumeration Date | 07/22/2016 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063865269 | NPI | - | NPPES |
| 1154416881 | Other | WA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00010278 (Washington) | Primary |
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