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1134143076
ROD JOHNSON
TIGARD, OR
NPI
1134143076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D7075)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- ROD JOHNSON DMD
11815 SW KING JAMES PL STE 10
TIGARD, OR 97224-2479
Phone number: 503-968-6101
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Mailing Address
-- ROD JOHNSON DMD
11815 SW KING JAMES PL STE 10
TIGARD, OR 97224-2479
Phone number: 503-968-6101
Copy
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