Jay a Johnson DDS Ltd

NPI #1639398597 in Las Vegas, Nevada

Provider Information

NPI Number: 1639398597
Entity Type: Organization
Organization Name: Jay a Johnson DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Apr 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3220 N BRONCO ST
Address 2: STE 102
City: Las Vegas
State: Nevada
ZIP Code: 89108-4863
Phone: (702) 396-2223

Authorized Official

Name: JAY A JOHNSON, DDS
Title: OWNER
Phone: 70239622223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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