| NPI | 1922105105 |
|---|---|
| Doing Business As | OXNARD DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KEITH A JOHNSON Owner Dds 805-487-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37429) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 51361) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |