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1609942143
WILLIAM LEE JOHANSEN
SALEM, OR
NPI
1609942143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR D7254)
Enumeration Date
2006-11-27
Last Update Date
2007-07-08
Business Address
WILLIAM LEE JOHANSEN DDS
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-363-3311
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Mailing Address
WILLIAM LEE JOHANSEN DDS
1160 LIBERTY STREET SE
SALEM, OR 97302
Phone number: 503-363-3311
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