Individual
DINA K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
(760) 414-3885
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
(760) 414-3885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47105
CA
Other
Enumeration date
11/08/2006
Last updated
09/01/2009
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