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Individual

DR. DAVID M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
620 W CLAIREMONT AVE, CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE CLINIC, EAU CLAIR, WI 54701
(715) 833-6370
(715) 833-6447
Mailing address
620 W CLAIREMONT AVE, CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE CLINIC, EAU CLAIR, WI 54701
(715) 833-6370
(715) 833-6447

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000315015
WI

Other

Enumeration date
04/23/2008
Last updated
04/23/2008
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