Bruce W. Johnson, D.m.d., Apdc
NPI #1376766345 in Poway, California
Provider Information
- NPI Number
- 1376766345
- Entity Type
- Organization
- Organization Name
- Bruce W. Johnson, D.m.d., Apdc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 15708 POMERADO ROAD
- Address 2
- SUITE N104
- City
- Poway
- State
- California
- ZIP Code
- 92064
- Phone
- (858) 485-1180
Authorized Official
- Name
- DR. BRUCE W JOHNSON, DMD
- Title
- DMD/OWNER
- Phone
- (858) 485-1180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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