DR. Ebenezer Johnson, DDS FAGD
NPI #1518002260 in Montclair, California
Provider Information
- NPI Number
- 1518002260
- Entity Type
- Individual
- Name
- DR. Ebenezer Johnson, DDS FAGD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS FAGD
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9645 MONTE VISTA AVE
- Address 2
- SUITE 305
- City
- Montclair
- State
- California
- ZIP Code
- 91763
- Phone
- (909) 621-6002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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