Individual
DR. EDWARD S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
500 BLUE HILLS AVE, HARTFORD, CT 06112-1500
(860) 714-2111
(860) 714-8528
Mailing address
500 BLUE HILLS AVE, HARTFORD, CT 06112-1500
(860) 714-2111
(860) 714-8528
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3960
CT
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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