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Gordon Johnson, LD — NPI 1053153171, Burlington, WA | NPI Central

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Gordon Johnson, LD

NPI 1053153171 · Denturist · Burlington, WA

Provider details

NPI number: 1053153171
Entity type: Individual
Primary specialty: DenturistDental Providers
Credential: LD
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

DenturistPrimary122400000X
Dental Providers

Practice location

200 Gilkey Rd

Burlington, WA 98233-2822

Phone: (360) 757-4909

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

200 Gilkey Rd

Burlington, WA 98233-2822

Registry dates

Enumerated: 2024-06-10
Last updated: 2024-06-10
Certified: 2024-06-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.