ROGER EDMUND JOHANSEN

NEWARK, NJ
NPI1457484115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: NJ  14977)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
Dr. ROGER EDMUND JOHANSEN D.M.D.
110 BERGEN ST NJDS ROOM D 837
NEWARK, NJ 07103-2495
Phone number: 973-972-4526
Mailing Address
Dr. ROGER EDMUND JOHANSEN D.M.D.
518 GREGORY AVE A-105
WEEHAWKEN, NJ 07086-5706
Phone number: 201-920-9026
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