| Daniel J. Johanek D.D.S.S.C. | |
|
2563 E Calumet St Appleton WI 54915-4748 | |
| (920) 731-1275 | |
| Not Available |
| Full Name | Daniel J. Johanek D.D.S.S.C. |
|---|---|
| Speciality | Dentist |
| Location | 2563 E Calumet St, Appleton, Wisconsin |
| Authorized Official Name and Position | Daniel Joseph Johanek (PRESIDENT/OWNER) |
| Authorized Official Contact | 9207316416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Johanek D.D.S.S.C. 2563 E Calumet St Appleton WI 54915-4748 Ph: (920) 731-1275 | Daniel J. Johanek D.D.S.S.C. 2563 E Calumet St Appleton WI 54915-4748 Ph: (920) 731-1275 |
| NPI Number | 1972526325 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972526325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1314 G (Wisconsin) | Primary |
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