Malia Lynn Johnson DDS

NPI 1679771174 - Dentist - 122300000X

NPI Details
NPI 1679771174
Gender Female
Enumeration Date 07/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
150 TEJAS PL
NIPOMO CA, 93444-9123, US
Phone (805) 929-3254
Fax (805) 929-6440
Business Location
150 TEJAS PL
PO BOX 430
NIPOMO CA, 93444-9123, US
Phone (805) 931-2556
Fax (805) 929-6440
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 54498
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According to our database, Malia Lynn Johnson DDS NPI is 1679771174, taxonomy code is 122300000X and license number is 54498, license state is located at California. Malia Lynn Johnson DDS physically located at 150 Tejas Pl, Nipomo CA, 93444-9123. NPI Number Malia Lynn Johnson DDS has the Individual type.

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1679771174 NPI number is provided on an as is basis without warranty of any kind. 1679771174 is maintained by the National Plan & Provider Enumeration System. The contents of Malia Lynn Johnson DDS are for informational purposes only.