Benjamin S Johnson DDS Sc

NPI #1285067272 in Delavan, Wisconsin

Provider Information

NPI Number: 1285067272
Entity Type: Organization
Organization Name: Benjamin S Johnson DDS Sc
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2013
Last Updated: Aug 14, 2013

Practice Location

Address: 134 S 4TH ST
City: Delavan
State: Wisconsin
ZIP Code: 53115-1802
Phone: (262) 728-9330

Authorized Official

Name: DR. BENJAMIN S JOHNSON, D.D.S.
Title: PRESIDENT/DENTIST
Phone: (262) 728-9330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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