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Organization

BRUCE W. JOHNSON, D.M.D., APDC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE W JOHNSON DMD (DMD/OWNER)
(858) 485-1180
Entity
Organization

Contact information

Practice address
15708 POMERADO ROAD, SUITE N104, POWAY, CA 92064
(858) 485-1180
Mailing address
15708 POMERADO ROAD, SUITE N104, POWAY, CA 92064
(858) 485-1180
(858) 485-1426

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29312
PA

Other

Enumeration date
04/10/2007
Last updated
07/19/2018
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