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Individual

DR. BRENT DAVID JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3901 PINE LAKE RD STE 250, LINCOLN, NE 68516-5497
(402) 423-3322
(402) 423-3329
Mailing address
1831 SAINT MICHAELS RD, LINCOLN, NE 68512-1850
(402) 421-7738

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6566
NE

Other

Enumeration date
07/26/2006
Last updated
11/05/2013
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