Traci L Johnson EFDA

NPI 1063771137 - Dental Assistant - 126800000X

NPI Details
NPI 1063771137
Gender Female
Enumeration Date 05/10/2012
Last Updated 05/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2300 LANCASTER DR NE
SALEM OR, 97305-1223, US
Phone (503) 370-4843
Fax (503) 375-5737
Business Location
2300 LANCASTER DR NE
SALEM OR, 97305-1223, US
Phone (503) 370-4843
Fax (503) 375-5737
Toxanomy
Taxonomy Code 126800000X
License State
License Number
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According to our database, Ms. Traci L Johnson EFDA NPI is 1063771137, taxonomy code is 126800000X Traci L Johnson EFDA physically located at 2300 Lancaster Dr Ne, Salem OR, 97305-1223. NPI Number Traci L Johnson EFDA has the Individual type.

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1063771137 NPI number is provided on an as is basis without warranty of any kind. 1063771137 is maintained by the National Plan & Provider Enumeration System. The contents of Traci L Johnson EFDA are for informational purposes only.