DESTYNE FAETH JOHNSON

SALEM, OR
NPI1871264234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H8315)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
DESTYNE FAETH JOHNSON RDH
3000 MARKET ST NE STE 228
SALEM, OR 97301-1803
Phone number: 800-525-6800
Mailing Address
DESTYNE FAETH JOHNSON RDH
29540 SW COURTSIDE DR APT 9
WILSONVILLE, OR 97070-5436
Phone number: 503-507-7083
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