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Organization

DR. FREDERICK A. JOHNSON JR DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK ANTHONY JOHNSON DDS (DENTIST)
(707) 362-3372
Entity
Organization

Contact information

Practice address
508 S HARBOR BLVD, FULLERTON, CA 92832-2411
(714) 770-0455
Mailing address
508 S HARBOR BLVD, FULLERTON, CA 92832-2411
(714) 770-0455

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/19/2019
Last updated
04/09/2019
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