institution
Beverly A Johnson Dds Mph Inc
Dental Clinic/Center in Los Angeles, California
NPI 1962605915

Beverly A Johnson Dds Mph Inc is a Dental Clinic/Center based in Los Angeles, CA and is specialized in Dental. Beverly A Johnson Dds Mph Inc practices in Los Angeles, CA. The NPI Number for Beverly A Johnson Dds Mph Inc is 1962605915 and holds a License No. 28126 (California).

The current practice location address for Beverly A Johnson Dds Mph Inc is 4151 Don Luis Dr, Los Angeles, CA and can be reached out via phone at 310-702-5475 and via fax at 310-702-5475.

Location: 4151 Don Luis Dr, Los Angeles, CA, 90008-4214
institution
Provider Profile Details
NPI Number
1962605915
Provider Name
Beverly A Johnson Dds Mph Inc
Credential
Provider Entity Type
Organization
Address
4151 Don Luis Dr, Los Angeles, CA, 90008-4214
Phone Number
310-702-5475
Fax Number
310-702-5475
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4151 Don Luis Dr
City
State
Zip
90008-4214
Phone Number
310-702-5475
Fax Number
310-702-5475
person
Provider Business Mailing Address Details
Address
4151 Don Luis Dr
City
State
Zip
90008-4214
Phone Number
310-702-5475
Fax Number
310-702-5475
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
28126 (California)
Definition
Definition to come...
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