Organization
RAYMONT H. JOHNSON,DDS.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMONT H. JOHNSON JR. DD. (OWNER DENTIST)
(310) 671-1234
Entity
Organization
Contact information
Practice address
808 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1914
(310) 671-1234
(310) 677-8853
Mailing address
808 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1914
(310) 671-1234
(310) 677-8853
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25404
CA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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