ERIC D JOHNSON

POCATELLO, ID
NPI1962504563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID  D3054OR)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
Dr. ERIC D JOHNSON DDS MS
625 E ALAMEDA
POCATELLO, ID 83201
Phone number: 208-237-0005
Mailing Address
Dr. ERIC D JOHNSON DDS MS
625 E ALAMEDA
POCATELLO, ID 83201
Phone number: 208-237-0005
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