NPI 1467648105

Ryan D Johnson

Practitioner Denturist Prosser, WA

Practice location

Address: 1225 Meade Ave, Prosser, WA 99350-1423
Phone: (509) 307-3217

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000466 (WA)

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Registry record

NPI: 1467648105
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2007
Record last updated: 17 Sep 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.