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Individual

DR. RAYMONT HERBERT JOHNSON JR.

Active
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Individual

DR. RAYMONT HERBERT JOHNSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25404
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025404
MEDICAL ID
CA
01
—
953877361
TAX PAYER ID
CA
Enumeration date
03/26/2007
Last updated
07/08/2007
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