Individual
RICHARD P JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4754 S 14TH ST, ABILENE, TX 79605-4733
(325) 777-0110
Mailing address
26 RIDGE RD, LEBANON, NJ 08833-4627
(908) 801-0384
(908) 832-2081
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
41018
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9737
NJ
Other
Enumeration date
01/09/2009
Last updated
10/03/2024
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