Roger D. Johnson, Dds,pc | |
7525 Pioneer Way Ste 102 Gig Harbor WA 98335-1165 | |
(253) 851-9963 | |
(253) 858-2425 |
Full Name | Roger D. Johnson, Dds,pc |
---|---|
Speciality | Dentist |
Location | 7525 Pioneer Way Ste 102, Gig Harbor, Washington |
Authorized Official Name and Position | Roger Dale Johnson (PRESIDENT) |
Authorized Official Contact | 2538519963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roger D. Johnson, Dds,pc 7525 Pioneer Way Ste 102 Gig Harbor WA 98335-1165 Ph: (253) 851-9963 | Roger D. Johnson, Dds,pc 7525 Pioneer Way Ste 102 Gig Harbor WA 98335-1165 Ph: (253) 851-9963 |
NPI Number | 1831398767 |
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Provider Enumeration Date | 07/11/2007 |
Last Update Date | 07/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831398767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4872 (Washington) | Primary |
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