| Bruce W. Johnson, D.m.d., Apdc | |
|
15708 Pomerado Road Suite N104 Poway CA 92064 | |
| (858) 485-1180 | |
| Not Available |
| Full Name | Bruce W. Johnson, D.m.d., Apdc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 15708 Pomerado Road, Poway, California |
| Authorized Official Name and Position | Bruce W Johnson (DMD/OWNER) |
| Authorized Official Contact | 8584851180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce W. Johnson, D.m.d., Apdc 15708 Pomerado Road Suite N104 Poway CA 92064 Ph: (858) 485-1180 | Bruce W. Johnson, D.m.d., Apdc 15708 Pomerado Road Suite N104 Poway CA 92064 Ph: (858) 485-1180 |
| NPI Number | 1376766345 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376766345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 29312 (Pennsylvania) | Primary |
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