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Dr. Bruce W Johnson, DMD
Periodontist in Poway, California
NPI 1497773485

Bruce W Johnson is a Periodontist based in San Diego, CA and is specialized in Periodontics. Bruce W Johnson practices in Poway, CA and has the professional credentials of DMD. The NPI Number for Bruce W Johnson is 1497773485 and holds a License No. 29312 (California).

The current practice location address for Bruce W Johnson is 15708 Pomerado Rd Ste N104, Poway, CA and can be reached out via phone at 858-485-1180 and via fax at 858-485-1426.

Location: 15708 Pomerado Rd Ste N104, Poway, CA, 92198-2769
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497773485
Provider Name
Bruce W Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
15708 Pomerado Rd Ste N104, Poway, CA, 92198-2769
Phone Number
858-485-1180
Fax Number
858-485-1426
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15708 Pomerado Rd Ste N104
City
Poway
State
California
Zip
92064
Phone Number
858-485-1180
Fax Number
858-485-1426
person
Provider Business Mailing Address Details
Address
15708 Pomerado Rd Ste N104
City
Poway
State
California
Zip
92064
Phone Number
858-485-1180
Fax Number
858-485-1426
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
29312 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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