Organization
MARINA DENTAL
Active
Other names
Keith A. Johnson D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN JOHNSON D.D.S. (OWNER)
(805) 985-1800
Entity
Organization
Contact information
Practice address
3611 W 5TH ST, STE A, OXNARD, CA 93030-6436
(805) 985-1800
(805) 984-0598
Mailing address
3611 W 5TH ST, STE A, OXNARD, CA 93030-6436
(805) 985-1800
(805) 984-0598
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
37429
CA
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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