Search › Washington › 122300000X
Marc Johnson, DDS
NPI 1154414084 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1407 Kresky Ave
Centralia, WA 98531 - Phone
- (360) 736-9397
- Fax
- (360) 736-9397
- Organisation at this address
- Duong Dai Ly Pllc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington