| Mack S Johnsen Dmd Pc | |
|
29990 Sw Town Center Lp Suite A Wilsonville OR 97070 | |
| (503) 682-2110 | |
| Not Available |
| Full Name | Mack S Johnsen Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29990 Sw Town Center Lp, Wilsonville, Oregon |
| Authorized Official Name and Position | Mack S Johnsen (DENTIST) |
| Authorized Official Contact | 5036822110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mack S Johnsen Dmd Pc 29990 Sw Town Center Lp W Suite A Wilsonville OR 97070 Ph: () - | Mack S Johnsen Dmd Pc 29990 Sw Town Center Lp Suite A Wilsonville OR 97070 Ph: (503) 682-2110 |
| NPI Number | 1346417748 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346417748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4949 (Oregon) | Primary |
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