Organization
DRS EBENEZER & RACHEL JOHNSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL R JOHNSON D.D.S (DENTIST / OWNER)
(909) 920-5001
Entity
Organization
Contact information
Practice address
511 S RIVERSIDE AVE, RIALTO, CA 92376
(909) 820-2274
(909) 820-2280
Mailing address
440 N. MOUNTAIN DR, SUITE 101, UPLAND, CA 91786
(909) 920-5001
(909) 980-5026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D36088
CA
Other
Enumeration date
10/18/2007
Last updated
05/17/2021
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