Organization
DENNIS D. JOHNSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS D JOHNSON DMD (PRESIDENT)
(503) 581-9419
Entity
Organization
Contact information
Practice address
410 LANCASTER DR NE STE A, SALEM, OR 97301-4794
(503) 581-9419
(503) 581-0438
Mailing address
410 LANCASTER DR NE STE A, SALEM, OR 97301-4794
(503) 581-9419
(503) 581-0438
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
D4839
OR
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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