Individual
DR. ROGER DALE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7525 PIONEER WAY, STE 102, GIG HARBOR, WA 98335-1165
(253) 851-9963
(253) 858-2425
Mailing address
7525 PIONEER WAY, STE 102, GIG HARBOR, WA 98335-1165
(253) 851-9963
(253) 858-2425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4872
WA
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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