DR. Tyran Eric Johnson, D.D.S.

NPI #1770671414 in Brookfield, Illinois

Provider Information

NPI Number
1770671414
Entity Type
Individual
Name
DR. Tyran Eric Johnson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.D.S.
Enumeration Date
Oct 10, 2006
Last Updated
Dec 23, 2022

Practice Location

Address
9240 BROADWAY AVE
ZIP Code
60513-1252
Phone
(708) 680-7017

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Provider Name
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