Organization
E.R. JOHNSON, D.D.S.,LTD.
Active
Other names
ashburn dental associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R JOHNSON DDS (PRESIDENT)
(773) 767-4030
Entity
Organization
Contact information
Practice address
3637 W 83RD PL, CHICAGO, IL 60652-3203
(773) 767-4030
Mailing address
215 W. 75TH ST, WILLOWBROOK, IL 60527
(773) 767-4030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19018832
IL
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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