| Drs Ebenezer & Rachel Johnson Dds Inc | |
|
9645 Monte Vista Ave Suite 305 Montclair CA 91763 | |
| (909) 621-6002 | |
| (909) 621-6002 |
| Full Name | Drs Ebenezer & Rachel Johnson Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 9645 Monte Vista Ave, Montclair, California |
| Authorized Official Name and Position | Rachel R Johnson (CFO) |
| Authorized Official Contact | 9096216002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Ebenezer & Rachel Johnson Dds Inc 9645 Monte Vista Ave Suite 305 Montclair CA 91763 Ph: (909) 621-6002 | Drs Ebenezer & Rachel Johnson Dds Inc 9645 Monte Vista Ave Suite 305 Montclair CA 91763 Ph: (909) 621-6002 |
| NPI Number | 1073780128 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073780128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D36088 (California) | Primary |
| 122300000X | Dentist | D37238 (California) | Secondary |
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