Individual
TYLER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1287 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(619) 339-0760
Mailing address
1287 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(619) 339-0760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
56144
CA
1223D0004X
Dental Anesthesiology
Primary
1498
CA
Other
Enumeration date
12/04/2008
Last updated
06/25/2019
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