DR. Tara Maria Johnston, DDS

NPI #1548620107 in Half Moon Bay, California

Provider Information

NPI Number
1548620107
Entity Type
Individual
Name
DR. Tara Maria Johnston, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Feb 25, 2016
Last Updated
Aug 2, 2016

Practice Location

Address
210 SAN MATEO RD STE 104
ZIP Code
94019-7172
Phone
(650) 726-2144

Specialties & Taxonomy Codes

Specialty
Dentist

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