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Organization

STEVEN G. JOHNSON DENTAL CORPORATION

Active
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Organization

STEVEN G. JOHNSON DENTAL CORPORATION

Active
Other names
Johnson Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY LOUISE BUTTERY (OPERATIONS SUPPORT MANAGER)
(805) 456-1235
Entity
Organization

Contact information

Practice address
5800 SANTA ROSA RD, SUITE 101, CAMARILLO, CA 93012-7056
(805) 987-8782
(805) 987-5649
Mailing address
5800 SANTA ROSA RD, SUITE 101, CAMARILLO, CA 93012-7056
(805) 987-8782
(805) 987-5649

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42163
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
03/04/2015
Last updated
01/04/2021
About Stedi
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