Erik David Johnson, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Onalaska, WI

NPI

1720496979

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

1000972-15 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2014-07-31

Last updated

2014-07-31