Drs Ebenezer & Rachel Johnson DDS INC

NPI #1073780128 in Montclair, California

Provider Information

NPI Number: 1073780128
Entity Type: Organization
Organization Name: Drs Ebenezer & Rachel Johnson DDS INC
Primary Specialty: Dentist
Enumeration Date: May 8, 2008
Last Updated: May 8, 2008

Practice Location

Address: 9645 MONTE VISTA AVE
Address 2: SUITE 305
City: Montclair
State: California
ZIP Code: 91763
Phone: (909) 621-6002

Authorized Official

Name: DR. RACHEL R JOHNSON, DDS
Title: CFO
Phone: (909) 621-6002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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