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1043504384
DEREK LYLE JOHNSON
RENO, NV
NPI
1043504384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NV 6090)
Enumeration Date
2011-06-03
Last Update Date
2011-06-03
Business Address
Dr. DEREK LYLE JOHNSON DMD
175 BRINKBY AVE
RENO, NV 89509-4327
Phone number: 775-825-9225
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Mailing Address
Dr. DEREK LYLE JOHNSON DMD
175 BRINKBY AVE
RENO, NV 89509-4327
Phone number: 775-825-9225
Copy
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