WILLIAM LEE JOHANSEN

SALEM, OR
NPI1609942143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7254)
Enumeration Date2006-11-27
Last Update Date2007-07-08
Business Address
-- WILLIAM LEE JOHANSEN DDS
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-363-3311
Mailing Address
-- WILLIAM LEE JOHANSEN DDS
1160 LIBERTY STREET SE
SALEM, OR 97302
Phone number: 503-363-3311