Individual
BETTY MARLEENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1000 W CARSON STREET, BOX 19, CARSON, CA 90502
(310) 668-4202
Mailing address
707 E OCEAN BLVD, APT 516, LONG BEACH, CA 90802
(601) 940-6593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64969
CA
Other
Enumeration date
07/02/2014
Last updated
04/03/2023
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