Zina Fargo Johnston DDS

NPI 1578711701 - Dentist - 1223G0001X

NPI Details
NPI 1578711701
Gender Female
Enumeration Date 08/29/2008
Last Updated 08/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
11092 ANDERSON STREET
LLU SCHOOL OF DENTISTRY
LOMA LINDA CA, 92350-0001, US
Phone (909) 558-4613
Fax (909) 558-4192
Business Location
11092 ANDERSON STREET
LLU SCHOOL OF DENTISTRY
LOMA LINDA CA, 92350-0001, US
Phone (909) 558-4613
Fax (909) 558-4192
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 48475
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According to our database, Zina Fargo Johnston DDS NPI is 1578711701, taxonomy code is 1223G0001X and license number is 48475, license state is located at California. Zina Fargo Johnston DDS physically located at 11092 Anderson Street, Loma Linda CA, 92350-0001. NPI Number Zina Fargo Johnston DDS has the Individual type.

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1578711701 NPI number is provided on an as is basis without warranty of any kind. 1578711701 is maintained by the National Plan & Provider Enumeration System. The contents of Zina Fargo Johnston DDS are for informational purposes only.