| NPI | 1225322837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L JOHNSON Owner 714-846-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44603) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |