Individual
DR. BRUCE ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7311 NE 141ST ST, BOTHELL, WA 98011-5303
(425) 823-4343
(425) 823-6735
Mailing address
7311 NE 141ST ST, BOTHELL, WA 98011-5303
(425) 823-4343
(425) 823-6735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005444
WA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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