Individual
EDWARD ARTHUR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
841 S DORA ST, UKIAH, CA 95482-5710
(707) 463-1232
Mailing address
841 S DORA ST, UKIAH, CA 95482-5710
(707) 463-1232
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D25156
CA
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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