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1245390988
MARK C JOHNSEN
HIGHLAND, CA
NPI
1245390988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 40622)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Mr. MARK C JOHNSEN DDS
6982 BOULDER AVENUE
HIGHLAND, CA 92346
Phone number: 909-862-2121
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Mailing Address
Mr. MARK C JOHNSEN DDS
15707 ROCKFIELD BLVD SUITE 265
IRVINE, CA 92618
Phone number: 949-600-7046
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