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1710973151
RICHARD L JOHNSON
TIGARD, OR
NPI
1710973151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR 5430)
Enumeration Date
2005-09-21
Last Update Date
2007-07-08
Business Address
Dr. RICHARD L JOHNSON DMD PC
11565 SW HALL BLVD SUITE A
TIGARD, OR 97223-8493
Phone number: 503-620-2131
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Mailing Address
Dr. RICHARD L JOHNSON DMD PC
11565 SW HALL BLVD SUITE A
TIGARD, OR 97223-8493
Phone number: 503-620-2131
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