Organization
M. JOHNSON DENTAL CORPORATION
Active
Other names
The Boss With The Floss of M. Johnson Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALIEKA JOHNSON DDS (OWNER PRESIDENT)
(619) 518-9000
Entity
Organization
Contact information
Practice address
3023 BUNKER HILL ST STE 105, SAN DIEGO, CA 92109-5706
(858) 999-0337
Mailing address
PO BOX 91344, SAN DIEGO, CA 92169-3344
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/21/2019
Last updated
04/21/2019
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