Organization
DARYL L. JOHNSON, DMD, PC
Active
Other names
Molalla Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA JOHNSON (BUSINESS MANAGER)
(503) 829-7677
Entity
Organization
Contact information
Practice address
128 ROSS ST, MOLALLA, OR 97038-9390
(503) 829-7677
(503) 829-3398
Mailing address
PO BOX 390, MOLALLA, OR 97038-0390
(503) 829-7677
(503) 829-3398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6951
OR
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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