Individual
TRISHIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4902 IRVINE CENTER DR STE 111, IRVINE, CA 92604-3334
(949) 559-0674
Mailing address
4902 IRVINE CENTER DR STE 111, IRVINE, CA 92604-3334
(949) 559-0674
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63366
—
CA
Enumeration date
06/12/2014
Last updated
12/07/2021
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