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1437486800
KELLY J JOHNSON
TIGARD, OR
NPI
1437486800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7482)
Enumeration Date
2009-11-05
Last Update Date
2012-03-20
Business Address
Dr. KELLY J JOHNSON D.D.S.
7420 SW BRIDGEPORT RD SUITE 104
TIGARD, OR 97224-7790
Phone number: 503-430-7909
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Mailing Address
Dr. KELLY J JOHNSON D.D.S.
7420 SW BRIDGEPORT RD SUITE 104
TIGARD, OR 97224-7790
Phone number: 503-430-7909
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