Organization
ERIC M JOHNSEN DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC M JOHNSEN DMD (OWNER)
(401) 683-5855
Entity
Organization
Contact information
Practice address
880 E MAIN RD, PORTSMOUTH, RI 02871-2340
(401) 683-5855
Mailing address
880 E MAIN RD, PORTSMOUTH, RI 02871-2340
(401) 683-5855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1945
RI
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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