Johnson, Bruce W
Johnson, Bruce W is an sole proprietor health care provider with primary practice located at 15708 Pomerado Rd Ste N104 , Poway CA 92064. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Johnson, Bruce W can be contacted via phone (858) 485-1180.Contact Information
Primary practice address
15708 Pomerado Rd Ste N104
Poway CA 92064
Phone: (858) 485-1180
Fax: (858) 485-1426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 29312 | California |
Profile Details
| NPI number | 1497773485 |
|---|---|
| LBN Legal business name | Johnson, Bruce W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 22nd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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