PHILLIP RANDOLPH JOHNSON

SAN DIEGO, CA
NPI1356450159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  51943)
Enumeration Date2006-08-29
Last Update Date2018-03-17
Business Address
PHILLIP RANDOLPH JOHNSON
5454 EL CAJON BLVD
SAN DIEGO, CA 92115-3621
Phone number: 619-515-2400
Mailing Address
PHILLIP RANDOLPH JOHNSON
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-906-4623