Paul Andrew Johnson, DDS

NPI #1770742876 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1770742876
Entity Type: Individual
Name: Paul Andrew Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 3, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 2901 PIONEER AVE
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-2434
Phone: (715) 234-1073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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