DR. Cory Michael Johnston, DMD

NPI #1376863068 in Grants Pass, Oregon

Provider Information

NPI Number: 1376863068
Entity Type: Individual
Name: DR. Cory Michael Johnston, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 4, 2010
Last Updated: Jan 2, 2015

Practice Location

Address: 1215 NE 7TH ST
Address 2: SUITE A
City: Grants Pass
State: Oregon
ZIP Code: 97526-1450
Phone: (541) 479-6623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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