| Johnson Family Dental Office Inc. | |
|
88 N Oak St Suite 2a Ventura CA 93001-5686 | |
| (805) 643-5026 | |
| (805) 643-5029 |
| Full Name | Johnson Family Dental Office Inc. |
|---|---|
| Speciality | Dentist |
| Location | 88 N Oak St, Ventura, California |
| Authorized Official Name and Position | Bonnie Michelle Gonzales (OFFICE MANAGER) |
| Authorized Official Contact | 8056435026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Family Dental Office Inc. 88 N Oak St Suite 2a Ventura CA 93001-5686 Ph: (805) 643-5026 | Johnson Family Dental Office Inc. 88 N Oak St Suite 2a Ventura CA 93001-5686 Ph: (805) 643-5026 |
| NPI Number | 1912194242 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912194242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42163 (California) | Primary |
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