Individual
DR. ORVIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
825 PROSPECT AVE, NORTH FOND DU LAC, WI 54937-1365
(920) 923-0310
(920) 923-5335
Mailing address
825 PROSPECT AVE, NORTH FOND DU LAC, WI 54937-1365
(920) 923-0310
(920) 923-5335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000785-015
WI
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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