Individual
JOYCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
1110 18TH ST, SUITE #6, SPRINGFIELD, OR 97477-4200
(541) 726-2633
Mailing address
1110 18TH ST, SUITE #6, SPRINGFIELD, OR 97477-4200
(541) 726-2633
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-906633
OR
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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