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Individual

DR. ROLAND ERIC JOHANSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4333 MONROE ST, SUITE C, TOLEDO, OH 43606-1981
(419) 473-3186
(419) 474-3175
Mailing address
4333 MONROE ST, SUITE C, TOLEDO, OH 43606-1981
(419) 473-3186
(419) 474-3175

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OH 30.015361
OH

Other

Enumeration date
10/15/2006
Last updated
07/08/2007
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