DR. Eric D Johnson, DDS MS

NPI #1962504563 in Pocatello, Idaho

Provider Information

NPI Number: 1962504563
Entity Type: Individual
Name: DR. Eric D Johnson, DDS MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS MS
Enumeration Date: Sep 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 625 E ALAMEDA
City: Pocatello
State: Idaho
ZIP Code: 83201
Phone: (208) 237-0005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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