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1205846060
JOHANNA LYNN WHITE
PORTLAND, OR
NPI
1205846060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 6643)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. JOHANNA LYNN WHITE DDS
1314 NE GRAND AVE
PORTLAND, OR 97232-1127
Phone number: 503-280-2877
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Mailing Address
Dr. JOHANNA LYNN WHITE DDS
11054 SE CEDAR WAY
HAPPY VALLEY, OR 97236-6291
Phone number: 503-708-1203
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