ORVIS J. R. JOHNSON DDS,SC
Managed Care Organizations at Prospect Ave, Fond Du Lac, WI

License number
Wisconsin 5000785-015
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. ORVIS JOHNSON DDS
Title: DENTIST
Phone: (920) 923-0310
Address
Address
825 Prospect Ave, Fond Du Lac, WI 54937
National Provider ID: 1063512267
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ORVIS J. R. JOHNSON DDS,SC at bizstanding.com

ORVIS J. R. JOHNSON, D.D.S., S.C

825 Prospect Ave, Fond du Lac, WI 54937

Status:
Inactive
Registration:
Dec 14, 2005
State ID:
J028232
Business type:
Service Close Corporation

Other Doctors licenses in Wisconsin