Individual
PAUL ANDREW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2901 PIONEER AVE, RICE LAKE, WI 54868-2434
(715) 234-1073
(715) 736-4242
Mailing address
2901 PIONEER AVE, RICE LAKE, WI 54868-2434
(715) 234-1073
(715) 736-4242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3282
WI
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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