Individual
GAIL MARGARET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EPRDH
Contact information
Practice address
85078 CHEZEM RD, EUGENE, OR 97405-9438
(805) 405-6107
Mailing address
85078 CHEZEM RD, EUGENE, OR 97405-9438
(805) 405-6107
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7113
OR
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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