Johnston Dental Care LLC
NPI #1164810941 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1164810941
- Entity Type
- Organization
- Organization Name
- Johnston Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 2, 2015
- Last Updated
- Jan 2, 2015
Practice Location
- Address
- 1215 NE 7TH ST STE A
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1450
- Phone
- (541) 479-6623
Authorized Official
- Name
- DR. CORY MICHAEL JOHNSTON, DMD
- Title
- DENTIST
- Phone
- (541) 479-6623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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