Lillian Diane Johnston, DDS Valid NPI

Individual provider · General Practice Dentistry · Loma Linda, CA

NPI

1629086566

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

30708 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-08-04

Last updated

2007-07-08