Individual
LOCHE MIQUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4350 MARCONI AVE, SUITE 200, SACRAMENTO, CA 95821-4310
(916) 483-4379
(916) 483-4141
Mailing address
4350 MARCONI AVE, SUITE 200, SACRAMENTO, CA 95821-4310
(916) 483-4379
(916) 483-4141
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034500
CA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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