Individual
ENRIKA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 GRAND CONCOURSE, BRONX, NY 10458-5204
(718) 901-8410
Mailing address
2432 GRAND CONCOURSE, BRONX, NY 10458-5204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062901
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2021
Last updated
04/20/2023
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