Individual
MR. GREGORY MELVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2031 HAWTHORNE STREET, SUITE D, FOREST GROVE, OR 97116-8502
(503) 357-5221
Mailing address
2031 HAWTHORNE STREET, SUITE D, FOREST GROVE, OR 97116-8502
(503) 357-5221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4737
OR
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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