Individual
ALEXANDER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1339 S 9TH ST, LAKEVIEW, OR 97630-1919
(541) 947-4066
Mailing address
1782 W 42ND ST, ERIE, PA 16509-1144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12244
OR
Other
Enumeration date
10/07/2024
Last updated
07/23/2025
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