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Organization
JEFFERY L JOHNSON DDS
Active
Organization
JEFFERY L JOHNSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY L JOHNSON DDS (OWNER)
(714) 846-0654
Entity
Organization
Contact information
Practice address
16141 BOLSA CHICA ROAD, HUNTINGTON BEACH, CA 92649
(714) 846-0654
Mailing address
16141 BOLSA CHICA ROAD, HUNTINGTON BEACH, CA 92649
(714) 846-0654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39284
CA
Other
Enumeration date
04/16/2007
Last updated
10/17/2013
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