Individual
ALEXANDRIA ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
610 HAWTHORNE AVE SE STE 200, SALEM, OR 97301-5378
(800) 525-6800
Mailing address
610 HAWTHORNE AVE SE STE 200, SALEM, OR 97301-5378
(800) 525-6800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10499
OR
Other
Enumeration date
07/25/2016
Last updated
07/31/2023
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