Individual
MS. VICKI JOHNSTONE-DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4000 E 30TH AVE, EUGENE, OR 97405-0640
(541) 817-2901
Mailing address
PO BOX 2847, EUGENE, OR 97402-0327
(541) 817-2901
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2305
OR
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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