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Mr. Keith E Johnson
General Practice Dentistry in Boulder Creek, California
NPI 1952529133

Keith E Johnson is a General Practice Dentistry based in Boulder Creek, CA and is specialized in General Practice. Keith E Johnson practices in Boulder Creek, CA. The NPI Number for Keith E Johnson is 1952529133 and holds a License No. 42162 (California).

The current practice location address for Keith E Johnson is 13270 Big Basin Way, Boulder Creek, CA and can be reached out via phone at 831-338-2131 and via fax at 831-338-2183.

Location: 13270 Big Basin Way, Boulder Creek, CA, 95006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952529133
Provider Name
Keith E Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
13270 Big Basin Way, Boulder Creek, CA, 95006
Phone Number
831-338-2131
Fax Number
831-338-2183
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13270 Big Basin Way
City
Boulder Creek
State
California
Zip
95006
Phone Number
831-338-2131
Fax Number
831-338-2183
person
Provider Business Mailing Address Details
Address
13270 Big Basin Way
City
Boulder Creek
State
California
Zip
95006
Phone Number
831-338-2131
Fax Number
831-338-2183
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
42162 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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