Individual
KELLY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4300 E SUNSET RD, SUITE B2, HENDERSON, NV 89014-2267
(702) 968-0707
(702) 968-0708
Mailing address
4300 E SUNSET RD, SUITE B2, HENDERSON, NV 89014-2267
(702) 968-0707
(702) 968-0708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3581
NV
Other
Enumeration date
10/13/2006
Last updated
08/31/2016
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