Organization
PLJ PC
Active
Other names
Dr. Kevin B. Johnson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BROOKS JOHNSON DMD (OWNER)
(503) 266-2705
Entity
Organization
Contact information
Practice address
333 NW 3RD AVE, CANBY, OR 97013-3602
(503) 266-2705
(503) 266-2973
Mailing address
333 NW 3RD AVE, CANBY, OR 97013-3602
(503) 266-2705
(503) 266-2973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9406
OR
Other
Enumeration date
04/05/2010
Last updated
04/11/2012
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