Individual
DR. BLAIR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1120 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
(715) 834-8414
(715) 834-3557
Mailing address
1120 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
(715) 834-8414
(715) 834-3557
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4412015
WI
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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