KEVIN BROOKS JOHNSON

CANBY, OR
NPI1942364575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D9406)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE00010704)
Enumeration Date2006-12-20
Last Update Date2012-04-11
Business Address
Dr. KEVIN BROOKS JOHNSON D.M.D.
333 NW 3RD AVE
CANBY, OR 97013-3602
Phone number: 503-266-2705
Mailing Address
Dr. KEVIN BROOKS JOHNSON D.M.D.
333 NW 3RD AVE
CANBY, OR 97013-3602
Phone number: 503-266-2705