Individual
DR. DAVID R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,S.C.
Contact information
Practice address
544 FAIRWAY DR, BRILLION, WI 54110-1435
(920) 756-5339
(920) 756-5319
Mailing address
544 FAIRWAY DR, BRILLION, WI 54110-1435
(920) 756-5339
(920) 756-5319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2041G
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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