Organization
SENSATIONAL SMILES ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER G JOHNSON DDS (OWNER/DDS)
(920) 748-7200
Entity
Organization
Contact information
Practice address
106 WATSON ST, RIPON, WI 54971-1327
(920) 748-7200
Mailing address
PO BOX 419, RIPON, WI 54971
(920) 748-7200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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