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Organization
JOHNSON DENTAL CORPORATION
Active
Organization
JOHNSON DENTAL CORPORATION
Active
Other names
La Cumbre Dental Specialty Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JULIA MADDEN RDA (OPERATIONS MANAGER)
(805) 682-4800
Entity
Organization
Contact information
Practice address
200 N LA CUMBRE RD, STE H, SANTA BARBARA, CA 93110-1577
(805) 960-5600
(805) 682-8899
Mailing address
200 N LA CUMBRE RD, STE H, SANTA BARBARA, CA 93110-1577
(805) 960-5600
(805) 682-8899
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
53046
CA
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
60946
CA
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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