Organization
DRS EBENEZER & RACHEL JOHNSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL R JOHNSON DDS (CFO)
(909) 621-6002
Entity
Organization
Contact information
Practice address
9645 MONTE VISTA AVE, SUITE 305, MONTCLAIR, CA 91763
(909) 621-6002
(909) 621-6002
Mailing address
9645 MONTE VISTA AVE, SUITE 305, MONTCLAIR, CA 91763
(909) 621-6002
(909) 621-6634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D36088
CA
122300000X
Dentist
D37238
CA
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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