Dale Johnstone, D.d.s., Inc. | |
1076 E 1st St Ste F Tustin CA 92780-3852 | |
(714) 730-7877 | |
(714) 730-9291 |
Full Name | Dale Johnstone, D.d.s., Inc. |
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Speciality | Clinic/center - Dental |
Location | 1076 E 1st St Ste F, Tustin, California |
Authorized Official Name and Position | Dale R. Johnstone (PERIODONTIST-PRESIDENT) |
Authorized Official Contact | 7147307877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dale Johnstone, D.d.s., Inc. 1076 E 1st St Ste F Tustin CA 92780-3852 Ph: (714) 730-7877 | Dale Johnstone, D.d.s., Inc. 1076 E 1st St Ste F Tustin CA 92780-3852 Ph: (714) 730-7877 |
NPI Number | 1649329699 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649329699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 22507 (California) | Primary |
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