| Drs Ebenezer & Rachel Johnson DDS Inc | |
|
511 S Riverside Ave Rialto CA 92376 | |
| (909) 820-2274 | |
| (909) 820-2280 |
| Full Name | Drs Ebenezer & Rachel Johnson DDS Inc |
|---|---|
| Speciality | Dentist |
| Location | 511 S Riverside Ave, Rialto, California |
| Authorized Official Name and Position | Rachel R Johnson (DENTIST / OWNER) |
| Authorized Official Contact | 9099205001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Ebenezer & Rachel Johnson DDS Inc 440 N. Mountain Dr Suite 101 Upland CA 91786 Ph: (909) 920-5001 | Drs Ebenezer & Rachel Johnson DDS Inc 511 S Riverside Ave Rialto CA 92376 Ph: (909) 820-2274 |
| NPI Number | 1801085501 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801085501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D36088 (California) | Primary |
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