NPI 1003161969

Malieka Trinee Johnson, DDS

Practitioner General Practice Dentistry San Diego, CA

Practice location

Address: 4784 Muir Ave, San Diego, CA 92107-2218
Phone: (619) 518-9000
Mailing address: PO Box 881496, San Diego, CA 92168-1496

Registered specialties (3)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 61342 (CA)

Other Dentist providers in California →

Dentist

Dental Providers Taxonomy 122300000X Licence 3361474 (ID)

Public Health Dentistry

Dental Providers Taxonomy 1223D0001X Licence 61342 (CA)

Registry record

NPI: 1003161969
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2012
Record last updated: 3 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.