Individual
DR. ERIC RICHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 NICHOLS RD, SUITE 208, KANSAS CITY, MO 64112-1511
(816) 753-0377
(816) 753-3048
Mailing address
350 LAKESHORE DR W, LAKE QUIVIRA, KS 66217-8523
(913) 631-8609
(913) 268-5031
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010677
MO
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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