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Organization
STEVEN G. JOHNSON DENTAL CORPORATION
Active
Organization
STEVEN G. JOHNSON DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BUTTERY (OPERATIONS SUPPORT MANAGER)
(805) 456-1235
Entity
Organization
Contact information
Practice address
225 N SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1324
(805) 534-3747
Mailing address
225 N SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1324
(805) 534-3747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/21/2017
Last updated
01/04/2021
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