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Individual

DR. PAMELA J JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
545 PLAINFIELD RD, SUITE D, WILLOWBROOK, IL 60527-7600
(630) 887-1188
(630) 887-1968
Mailing address
545 PLAINFIELD RD, SUITE D, WILLOWBROOK, IL 60527-7600
(630) 887-1188
(630) 887-1968

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001589
IL

Other

Enumeration date
12/14/2010
Last updated
12/14/2010
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