Individual
DENNIS KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3081 HWY. 31 EAST, TYLER, TX 75702
(903) 533-9797
(903) 533-9539
Mailing address
3081 HWY. 31 EAST, TYLER, TX 75702
(903) 533-9797
(903) 533-9539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12666
TX
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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