Organization
ROGER D. JOHNSON, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER DALE JOHNSON DDS (PRESIDENT)
(253) 851-9963
Entity
Organization
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
07/11/2007
Last updated
07/11/2007
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