Individual
DR. TYRAN ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9240 BROADWAY AVE, BROOKFIELD, IL 60513-1252
(708) 680-7017
(708) 419-3537
Mailing address
9240 BROADWAY AVE, BROOKFIELD, IL 60513-1252
(708) 680-7017
(708) 419-3537
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002224
IL
Other
Enumeration date
10/10/2006
Last updated
12/23/2022
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