DR. Orvis Johnson, D.D.S
NPI #1679596316 in North Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1679596316
- Entity Type
- Individual
- Name
- DR. Orvis Johnson, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 825 PROSPECT AVE
- State
- Wisconsin
- ZIP Code
- 54937-1365
- Phone
- (920) 923-0310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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