Individual
DR. DALE R. JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510 CALLE MALAGUENA, SAN CLEMENTE, CA 92672-2357
(714) 904-6808
Mailing address
510 CALLE MALAGUENA, SAN CLEMENTE, CA 92672-2357
(714) 904-6808
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22507
CA
Other
Enumeration date
06/30/2005
Last updated
07/21/2015
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