Organization
ABBASSI JOHNSON PROFESSIONAL CORPORATION
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR JOHNSON III MD, DDS (OWNER)
(626) 331-0506
Entity
Organization
Contact information
Practice address
558 W BADILLO ST, COVINA, CA 91722
(626) 331-0506
(626) 858-1788
Mailing address
558 W BADILLO ST, COVINA, CA 91722-3762
(626) 331-0506
(626) 858-1788
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
54047
CA
1223G0001X
General Practice Dentistry
54322
CA
1223G0001X
General Practice Dentistry
55948
CA
1223P0300X
Periodontics
47476
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
24358
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OMS36
CA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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