Organization
COUNTY ROOTS CHILDRENS DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK ARTHUR JOHNSON DMD (PEDIATRIC DENTIST)
(207) 551-3304
Entity
Organization
Contact information
Practice address
181 ACADEMY ST STE 4, PRESQUE ISLE, ME 04769-3178
(207) 462-4767
(207) 512-1702
Mailing address
P.O. BOX 4197, PRESQUE ISLE, ME 04769
(207) 462-4767
(207) 512-1702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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