Individual
DR. CHRISTIAN EDGAR JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3274 W SHORE RD, WARWICK, RI 02886-7560
(401) 739-1399
Mailing address
3274 W SHORE RD, WARWICK, RI 02886-7560
(401) 739-1399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2608
RI
Other
Enumeration date
01/25/2006
Last updated
02/06/2013
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