Dental Board of California
Licensing details for: 5540
Name: EBENEZER JOHNSON DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: DR EBENEZER JOHNSON
Address of Record
511 S RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO county
Map
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
