MS. Traci L Johnson, EFDA

NPI #1063771137 in Salem, Oregon

Provider Information

NPI Number: 1063771137
Entity Type: Individual
Name: MS. Traci L Johnson, EFDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: EFDA
Enumeration Date: May 10, 2012
Last Updated: May 10, 2012

Practice Location

Address: 2300 LANCASTER DR NE
City: Salem
State: Oregon
ZIP Code: 97305-1223
Phone: (503) 370-4843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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