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1962504563
ERIC D JOHNSON
POCATELLO, ID
NPI
1962504563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID D3054OR)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
Dr. ERIC D JOHNSON DDS MS
625 E ALAMEDA
POCATELLO, ID 83201
Phone number: 208-237-0005
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Mailing Address
Dr. ERIC D JOHNSON DDS MS
625 E ALAMEDA
POCATELLO, ID 83201
Phone number: 208-237-0005
Copy
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