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1215141148
BRYAN JOHNSON
TUALATIN, OR
NPI
1215141148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR D7481)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Dr. BRYAN JOHNSON D.D.S., M.S.
19255 SW 65TH AVE SUITE #230
TUALATIN, OR 97062-7451
Phone number: 503-691-9970
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Mailing Address
Dr. BRYAN JOHNSON D.D.S., M.S.
19255 SW 65TH AVE SUITE #230
TUALATIN, OR 97062-7451
Phone number: 503-691-9970
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