Individual
DR. BENJAMIN S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
134 S 4TH ST, DELAVAN, WI 53115-1802
(262) 728-9330
(262) 728-0172
Mailing address
134 S 4TH ST, DELAVAN, WI 53115-1802
(262) 728-9330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6240-15
WI
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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