Individual
DR. ERIC MATHIAS JOHNSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2066
(717) 851-3565
Mailing address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2066
(717) 851-3565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018565L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0518577
—
PA
Enumeration date
01/24/2007
Last updated
07/08/2007
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