Organization
DANIEL J. JOHANEK D.D.S.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOSEPH JOHANEK D.D.S. (PRESIDENT/OWNER)
(920) 731-6416
Entity
Organization
Contact information
Practice address
2563 E CALUMET ST, APPLETON, WI 54915-4748
(920) 731-1275
Mailing address
2563 E CALUMET ST, APPLETON, WI 54915-4748
(920) 731-1275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1314 G
WI
Other
Enumeration date
07/26/2006
Last updated
02/01/2012
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