Individual
ASHLEY DESHAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3811 LYONS AVE, HOUSTON, TX 77020-8306
(832) 548-5000
Mailing address
3811 LYONS AVE, HOUSTON, TX 77020-8306
(832) 548-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3223455-01
—
TX
Enumeration date
04/02/2012
Last updated
03/07/2023
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