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1619184843
GREGORY MELVIN JOHNSON
FOREST GROVE, OR
NPI
1619184843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR 4737)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
MR. GREGORY MELVIN JOHNSON D.M.D.
2031 HAWTHORNE STREET SUITE D
FOREST GROVE, OR 97116-8502
Phone number: 503-357-5221
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Mailing Address
MR. GREGORY MELVIN JOHNSON D.M.D.
2031 HAWTHORNE STREET SUITE D
FOREST GROVE, OR 97116-8502
Phone number: 503-357-5221
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