Individual
CLAYTON ORE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 S MILLER ST STE 201, SANTA MARIA, CA 93454-6910
(805) 925-7343
Mailing address
1315 S MILLER ST STE 201, SANTA MARIA, CA 93454-6910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105386
CA
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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