DR. Derek Lyle Johnson, DMD

NPI #1043504384 in Reno, Nevada

Provider Information

NPI Number
1043504384
Entity Type
Individual
Name
DR. Derek Lyle Johnson, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jun 3, 2011
Last Updated
Jun 3, 2011

Practice Location

Address
175 BRINKBY AVE
City
Reno
State
Nevada
ZIP Code
89509-4327
Phone
(775) 825-9225

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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