DERRICK JOHNSON

Dentist

NPI: 1407963762Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

4583(AZ)AR3739(AR)

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Contact & Hours

Address: 114 DYER STREET
MOUNTAIN HOME, AR 72653
Phone: (870) 580-0950

Quick Facts

NPI: 1407963762
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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