Tracy R. Johnson, Dds, Ps
NPI #1376718957 in Port Orchard, Washington
Provider Information
- NPI Number
- 1376718957
- Entity Type
- Organization
- Organization Name
- Tracy R. Johnson, Dds, Ps
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 24, 2008
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 2040 MITCHELL RD SE
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98366-4401
- Phone
- (360) 895-8841
Authorized Official
- Name
- DR. TRACY R JOHNSON, DDS
- Title
- PRESIDENT/OWNER
- Phone
- (360) 895-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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