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Individual

DR. BENJAMIN SINGER JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4027 N BARTLETT AVE, SHOREWOOD, WI 53211-1909
(617) 803-3731
Mailing address
4027 N BARTLETT AVE, SHOREWOOD, WI 53211-1909
(617) 803-3731

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6649-015
WI

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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