Ken Johnson, D.D.S.

NPI #1124198924 in Beloit, Wisconsin

Provider Information

NPI Number
1124198924
Entity Type
Individual
Name
Ken Johnson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Nov 9, 2006
Last Updated
Mar 16, 2012

Practice Location

Address
918 E PARK AVENUE PLZ
City
Beloit
ZIP Code
53511-1753
Phone
(608) 365-9456

Specialties & Taxonomy Codes

Specialty
Dentist

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