Daniel J. Johanek D.d.s.s.c.

NPI #1972526325 in Appleton, Wisconsin

Provider Information

NPI Number: 1972526325
Entity Type: Organization
Organization Name: Daniel J. Johanek D.d.s.s.c.
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2006
Last Updated: Feb 1, 2012

Practice Location

Address: 2563 E CALUMET ST
City: Appleton
State: Wisconsin
ZIP Code: 54915-4748
Phone: (920) 731-1275

Authorized Official

Name: DR. DANIEL JOSEPH JOHANEK, D.D.S.
Title: PRESIDENT/OWNER
Phone: (920) 731-6416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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