Regis Court Family Dental S.c.
NPI #1679783443 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1679783443
- Entity Type
- Organization
- Organization Name
- Regis Court Family Dental S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 23, 2007
- Last Updated
- Sep 26, 2019
Practice Location
- Address
- 1102 REGIS COURT
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701
- Phone
- (715) 835-3334
Authorized Official
- Name
- DR. OWEN W. JOHNSON, D.D.S.
- Title
- DENTIST
- Phone
- (715) 835-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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