Individual
DR. RICHARD CHARLES JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10134 N PORT WASHINGTON RD, MEQUON, WI 53092-5700
(262) 241-3500
(262) 241-0891
Mailing address
10134 N PORT WASHINGTON RD, MEQUON, WI 53092-5700
(262) 241-3500
(262) 241-0891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2671
WI
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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