Plj PC

NPI #1346565165 in Canby, Oregon

Provider Information

NPI Number: 1346565165
Entity Type: Organization
Organization Name: Plj PC
Primary Specialty: Dentist
Enumeration Date: Apr 5, 2010
Last Updated: Apr 11, 2012

Practice Location

Address: 333 NW 3RD AVE
City: Canby
State: Oregon
ZIP Code: 97013-3602
Phone: (503) 266-2705

Authorized Official

Name: DR. KEVIN BROOKS JOHNSON, DMD
Title: OWNER
Phone: (503) 266-2705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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