Individual
DR. DANIEL JOSEPH JOHANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2563 E CALUMET ST, APPLETON, WI 54915-4748
(920) 731-6416
(920) 731-1275
Mailing address
2563 E CALUMET ST, APPLETON, WI 54915-4748
(920) 731-6416
(920) 731-1275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001314-15
WI
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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