Phillip Randolph Johnson
ActiveCalifornia license 51943
License
- Licensed by
- Dental Board of California
- License number
- 51943
- Status
- Active (Current)
- First issued
- December 17, 2003
- Expires
- September 30, 2028
- License holder
- Phillip Randolph Johnson
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4065 3rd Ave
San Diego, CA 92103-2184
San Diego, CA 92103-2184
San Diego County