Johnson & Rollolazo, a Professional Corporation
NPI #1316343742 in San Clemente, California
Provider Information
- NPI Number
- 1316343742
- Entity Type
- Organization
- Organization Name
- Johnson & Rollolazo, a Professional Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 12, 2014
- Last Updated
- Nov 12, 2014
Practice Location
- Address
- 1031 AVENIDA PICO STE 203
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-6356
- Phone
- (949) 361-6900
Authorized Official
- Name
- DEAN ROLLOLAZO, R.D.H.
- Title
- CEO/BUSINESS MANAGER
- Phone
- (206) 351-6252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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