DR. ROGER JOHANSEN, D.M.D.
Dentist - Prosthodontics
Active
Individual
NPI: 1457484115
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Prosthodontics | 1223P0700X | Yes | 14977 (NJ) |
Frequently Asked Questions
NPI 1457484115 is the National Provider Identifier for DR. ROGER JOHANSEN, D.M.D., a Dentist - Prosthodontics provider located in Newark, NJ. This NPI was enumerated on March 13, 2007.
DR. ROGER JOHANSEN, D.M.D. practices at 110 BERGEN ST, NJDS ROOM D 837, Newark, NJ 07103.
Quick Facts
- NPI
- 1457484115
- Type
- Individual
- Enumerated
- Mar 13, 2007
- Last Updated
- Jul 8, 2007
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