KEN JOHNSON

BELOIT, WI
NPI1124198924
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  4352)
Enumeration Date2006-11-09
Last Update Date2012-03-16
Business Address
-- KEN JOHNSON D.D.S.
918 E PARK AVENUE PLZ
BELOIT, WI 53511-1753
Phone number: 608-365-9456
Mailing Address
-- KEN JOHNSON D.D.S.
918 E PARK AVENUE PLZ
BELOIT, WI 53511-1753
Phone number: 608-365-9456
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