Individual
DR. BRUCE W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
15708 POMERADO RD STE N104, POWAY, CA 92064
(858) 485-1180
(858) 485-1426
Mailing address
PO BOX 270769, SAN DIEGO, CA 92198-2769
(858) 485-1180
(858) 485-1426
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29312
CA
Other
Enumeration date
07/17/2006
Last updated
05/22/2018
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