Individual
DR. TODD P JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3143 STATE RD, STE. #204, LA CROSSE, WI 54601-6964
(608) 788-3852
(608) 788-4242
Mailing address
1202 COUNTY ROAD PH STE 300, ONALASKA, WI 54650-8442
(608) 788-3852
(608) 788-4242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4937
WI
1223G0001X
General Practice Dentistry
Primary
4937
WI
Other
Enumeration date
11/15/2006
Last updated
05/03/2021
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