Ebenezer Johnson, DDS FAGD

NPI 1518002260 · on the registry since 2007

Practice

Address: 9645 Monte Vista Ave
Suite 305
Montclair, CA 91763
Phone: (909) 621-6002
Fax: (909) 621-6634
Organisation at this address: Patients Choice Medical Group Inc
Drs Ebenezer & Rachel Johnson Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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