Ross M Johnsen DDS

NPI 1649371410 - Dentist - 122300000X

NPI Details
NPI 1649371410
Gender Male
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 S GREENLEAF ST
SUITE E
GURNEE IL, 60031-3369, US
Phone (847) 662-3100
Fax (847) 662-3125
Business Location
101 S GREENLEAF ST
SUITE E
GURNEE IL, 60031-3369, US
Phone (847) 662-3100
Fax (847) 662-3125
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Ross M Johnsen DDS NPI is 1649371410, taxonomy code is 122300000X Ross M Johnsen DDS physically located at 101 S Greenleaf St, Gurnee IL, 60031-3369. NPI Number Ross M Johnsen DDS has the Individual type.

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1649371410 NPI number is provided on an as is basis without warranty of any kind. 1649371410 is maintained by the National Plan & Provider Enumeration System. The contents of Ross M Johnsen DDS are for informational purposes only.