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Organization
RICHARD E JOHNSON DDS
Active
Organization
RICHARD E JOHNSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EVANS JOHNSON DDS (OWNER)
(559) 431-6626
Entity
Organization
Contact information
Practice address
5646 N PALM AVE, SUITE 101, FRESNO, CA 93704-1848
(559) 431-6626
(559) 431-6499
Mailing address
2970 E PRYOR DR, FRESNO, CA 93720-4498
(559) 940-0876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22814
CA
332BC3200X
Customized Equipment (DME)
22814
CA
Other
Enumeration date
02/11/2011
Last updated
02/20/2012
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