Daryl L. Johnson, Dmd, PC

NPI #1639486590 in Molalla, Oregon

Provider Information

NPI Number
1639486590
Entity Type
Organization
Organization Name
Daryl L. Johnson, Dmd, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 13, 2010
Last Updated
Sep 13, 2010

Practice Location

Address
128 ROSS ST
State
Oregon
ZIP Code
97038-9390
Phone
(503) 829-7677

Authorized Official

Name
MS. TARA JOHNSON
Title
BUSINESS MANAGER
Phone
(503) 829-7677

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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