Individual
JANICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1050 LAS TABLAS RD, STE 17, TEMPLETON, CA 93465-9729
(805) 434-2020
(805) 434-2911
Mailing address
150 TEJAS PL, PO BOX 430, NIPOMO, CA 93444-9123
(805) 929-3211
(805) 929-6440
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17350
CA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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