Brookfield Oral Surgery, LLC
NPI #1225612534 in Brookfield, Illinois
Provider Information
- NPI Number
- 1225612534
- Entity Type
- Organization
- Organization Name
- Brookfield Oral Surgery, LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 12, 2021
- Last Updated
- May 12, 2021
Practice Location
- Address
- 9240 BROADWAY AVE
- City
- Brookfield
- State
- Illinois
- ZIP Code
- 60513-1252
- Phone
- (708) 680-7017
Authorized Official
- Name
- DR. TYRAN E JOHNSON, DDS
- Title
- OWNER
- Phone
- (708) 680-7017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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