Individual
ROBERT D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
809 SW COURT AVE, PENDLETON, OR 97801-1910
(541) 276-3241
(541) 276-6423
Mailing address
809 SW COURT AVE, PENDLETON, OR 97801-1910
(541) 276-3241
(541) 276-6423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4948
OR
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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