| Dr. Frederick A. Johnson Jr Dds, Inc | |
|
508 S Harbor Blvd Fullerton CA 92832-2411 | |
| (714) 770-0455 | |
| Not Available |
| Full Name | Dr. Frederick A. Johnson Jr Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 508 S Harbor Blvd, Fullerton, California |
| Authorized Official Name and Position | Frederick Anthony Johnson (DENTIST) |
| Authorized Official Contact | 7073623372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Frederick A. Johnson Jr Dds, Inc 508 S Harbor Blvd Fullerton CA 92832-2411 Ph: (714) 770-0455 | Dr. Frederick A. Johnson Jr Dds, Inc 508 S Harbor Blvd Fullerton CA 92832-2411 Ph: (714) 770-0455 |
| NPI Number | 1578022323 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 04/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578022323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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