Individual provider · Type 1 NPI
Bruce W. Johnson, DMD
Periodontics · Poway, CA
NPI number
1497773485
Active
Practice location
15708 Pomerado Rd Ste N104
Poway, CA 92064
Fax (858) 485-1426
Mailing address
PO Box 270769
San Diego, CA 92198-2769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 29312 (CA) |
Periodontics: 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.
Another provider at this address
Other periodontics providers in Poway
About NPI 1497773485
Bruce W. Johnson, DMD's National Provider Identifier is 1497773485, issued on Jul 17, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Poway, CA. The record was last updated on May 22, 2018.