Johnson, Jesse Kendall
Johnson, Jesse Kendall is an sole proprietor health care provider with primary practice located at 24502 Pacific Park Dr 106, Aliso Viejo CA 92656-3033. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Jesse Kendall can be contacted via phone (949) 831-1946.Contact Information
Primary practice address
24502 Pacific Park Dr 106
Aliso Viejo CA 92656-3033
Phone: (949) 831-1946
Fax: (949) 643-2077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21146 | California |
Profile Details
| NPI number | 1306003355 |
|---|---|
| LBN Legal business name | Johnson, Jesse Kendall |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2008 |
| Last updated | May 19th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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