Individual
DR. REUBEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17875 VON KARMAN AVE STE 440, IRVINE, CA 92614-6273
(949) 561-1833
Mailing address
17875 VON KARMAN AVE STE 440, IRVINE, CA 92614-6273
(650) 270-0556
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
63515
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2012
Last updated
10/26/2023
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