NPI 1083728265

Keri Ann Johnson, DENTALASSISTANT

Practitioner Dental Assistant Vancouver, WA

Practice location

Address: 14406 NE 20th Ave, Vancouver, WA 98686-1448
Phone: (360) 571-3139
Fax: (360) 571-3149
Mailing address: PO Box 1539, Woodland, WA 98674-1400

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1083728265
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.