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1942580014
MATT DAVID JOHNSON
ALISO VIEJO, CA
NPI
1942580014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 60630)
Enumeration Date
2011-08-22
Last Update Date
2012-11-06
Business Address
Dr. MATT DAVID JOHNSON D.D.S.
24502 PACIFIC PARK DR SUITE 106
ALISO VIEJO, CA 92656-3033
Phone number: 949-831-1946
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Mailing Address
Dr. MATT DAVID JOHNSON D.D.S.
24502 PACIFIC PARK DR SUITE 106
ALISO VIEJO, CA 92656-3033
Phone number: 949-831-1946
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