Marina Dental
NPI #1265573505 in Oxnard, California
Provider Information
- NPI Number
- 1265573505
- Entity Type
- Organization
- Organization Name
- Marina Dental
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3611 W 5TH ST
- Address 2
- STE A
- City
- Oxnard
- State
- California
- ZIP Code
- 93030-6436
- Phone
- (805) 985-1800
Authorized Official
- Name
- DR. KEITH ALAN JOHNSON, D.D.S.
- Title
- OWNER
- Phone
- (805) 985-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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