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1790708857
BRENT DAVID JOHNSON
LINCOLN, NE
NPI
1790708857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: NE 6566)
Enumeration Date
2006-07-26
Last Update Date
2013-11-05
Business Address
DR. BRENT DAVID JOHNSON D.D.S.
3901 PINE LAKE RD STE 250
LINCOLN, NE 68516-5497
Phone number: 402-423-3322
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Mailing Address
DR. BRENT DAVID JOHNSON D.D.S.
1831 SAINT MICHAELS RD
LINCOLN, NE 68512-1850
Phone number: 402-421-7738
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