Organization
JOHNSON CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHATHON J MELK DDS (DENTIST)
(920) 690-2554
Entity
Organization
Contact information
Practice address
540 VILLAGE WALK LANE, SUITE E, JOHNSON CREEK, WI 53038
(920) 699-2554
(920) 699-3059
Mailing address
540 VILLAGE WALK LANE, SUITE E, JOHNSON CREEK, WI 53038
(920) 699-2554
(920) 699-3059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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