Organization
JOHNSTON DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY MICHAEL JOHNSTON DMD (DENTIST)
(541) 479-6623
Entity
Organization
Contact information
Practice address
1215 NE 7TH ST STE A, GRANTS PASS, OR 97526-1450
(541) 479-6623
(541) 479-6776
Mailing address
1215 NE 7TH ST STE A, GRANTS PASS, OR 97526-1450
(541) 479-6623
(541) 479-6776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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