Individual
DR. MARVIN JOHN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1046 NE 3RD ST, MCMINNVILLE, OR 97128-4418
(503) 472-1468
(503) 434-9214
Mailing address
1046 NE 3RD ST, MCMINNVILLE, OR 97128-4418
(503) 472-1468
(503) 434-9214
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5964
OR
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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