Jared Joshua Johnson Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Downey, CA

NPI

1902428238

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

105919 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2020-05-08

Last updated

2024-08-15