Orvis J. R. Johnson Dds,sc
NPI #1063512267 in North Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1063512267
- Entity Type
- Organization
- Organization Name
- Orvis J. R. Johnson Dds,sc
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 825 PROSPECT AVE
- State
- Wisconsin
- ZIP Code
- 54937-1365
- Phone
- (920) 923-0310
Authorized Official
- Name
- DR. ORVIS JOHNSON, DDS
- Title
- DENTIST
- Phone
- (920) 923-0310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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