Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 45472 | CA |
N | 1223E0200X | Endodontist | 7467 | AZ |
Y | 1223E0200X | Endodontist | S7-45 | NV |
NPI | 1104987528 |
---|---|
Provider Name | Dr. Tejpaul Johl |
First Address | Henderson, NV 89052-4053 |
Second Address | Henderson, NV 89052-4053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 06/12/2011 |