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Organization

BEVERLY A JOHNSON DDS MPH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEVERLY JOHNSON DDS (PRESIDENT)
(310) 702-5475
Entity
Organization

Contact information

Practice address
4151 DON LUIS DR, LOS ANGELES, CA 90008-4214
(310) 702-5475
(310) 702-5475
Mailing address
4151 DON LUIS DR, LOS ANGELES, CA 90008-4214
(310) 702-5475

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
28126
CA

Other

Enumeration date
06/07/2007
Last updated
06/03/2011
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