
Dental Board of California
Licensing details for: 11464
Name: DRS EBENEZER AND RACHEL JOHNSON DDS. INC.
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: JOHNSON, EBENEZER
License/Registration Type: Dentist License
License Number: 36088 Primary Status: Current - Active
Address :
440 N Mountain Ave
Suite #101
UPLAND CA 91786
SAN BERNARDINO COUNTY