DR. Jesse Kendall Johnson, DDS
NPI #1306003355 in Aliso Viejo, California
Provider Information
- NPI Number
- 1306003355
- Entity Type
- Individual
- Name
- DR. Jesse Kendall Johnson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 19, 2008
- Last Updated
- May 19, 2008
Practice Location
- Address
- 24502 PACIFIC PARK DR
- Address 2
- 106
- City
- Aliso Viejo
- State
- California
- ZIP Code
- 92656-3033
- Phone
- (949) 831-1946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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