Individual
MRS. LAURA MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1002 RAMSEY AVE, GRANTS PASS, OR 97527-5816
(541) 476-2200
(541) 956-0329
Mailing address
1002 RAMSEY AVE, GRANTS PASS, OR 97527-5816
(541) 476-2200
(541) 956-0329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7647
OR
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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