Individual
PEGGY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
437 OLD VIA RANCHO DR, ESCONDIDO, CA 92029-7959
(760) 638-2477
(760) 745-0828
Mailing address
437 OLD VIA RANCHO DR, ESCONDIDO, CA 92029-7959
(760) 638-2477
(760) 745-0828
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
10008
CA
124Q00000X
Dental Hygienist
Primary
452
CA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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