MACK S JOHNSEN DMD PC

WILSONVILLE, OR
NPI1346417748
Entity TypeOrganization
Authorized ContactMACK S JOHNSEN
Dentist
503-682-2110
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  4949)
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
MACK S JOHNSEN DMD PC
29990 SW TOWN CENTER LP SUITE A
WILSONVILLE, OR 97070
Phone number: 503-682-2110
Mailing Address
MACK S JOHNSEN DMD PC
29990 SW TOWN CENTER LP W SUITE A
WILSONVILLE, OR 97070
Phone number: