Mack S Johnsen Dmd PC
NPI #1346417748 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1346417748
- Entity Type
- Organization
- Organization Name
- Mack S Johnsen Dmd PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 14, 2008
- Last Updated
- May 14, 2008
Practice Location
- Address
- 29990 SW TOWN CENTER LP
- Address 2
- SUITE A
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070
- Phone
- (503) 682-2110
Authorized Official
- Name
- DR. MACK S JOHNSEN
- Title
- DENTIST
- Phone
- (503) 682-2110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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