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Jesse Johnson, DDS
NPI 1306003355 · on the registry since 2008 · sole proprietor
Practice
- Address
- 24502 Pacific Park Dr
106
Aliso Viejo, CA 92656 - Phone
- (949) 831-1946
- Fax
- (949) 643-2077
- Organisation at this address
- Thomas Ludema Md
Oso Pediatrics, Inc.
Kaiser Foundation Health Plan Inc
Advanced Ob/Gyn & Infertility Medical Group IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California