Steven G. Johnson Dental Corporation
Dentist, General Practice in Ventura, CA. Organization (NPI-2).
NPI number1457761983
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1457761983
- Entity type
- Organization (NPI-2)
- Legal business name
- Steven G. Johnson Dental Corporation
- Organization subpart
- No
- Enumeration date
- May 6, 2014
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | CA | Yes |
Other names
- Johnson Family Dental (Doing Business As)
Practice location
103 S Mills Rd Ste 101Ventura, CA 93003-3456
Phone 805-643-5026 · Fax 805-643-5029
Mailing address
103 S Mills Rd Ste 101Ventura, CA 93003-3456
Phone 805-643-5026 · Fax 805-643-5029
Authorized official
Amy Louise Buttery
Operations Support Manager
8054561235
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