| Mr Keith E Johnson, | |
|
13270 Big Basin Way, Boulder Creek, CA 95006 | |
| (831) 338-2131 | |
| (831) 338-2183 |
| Full Name | Mr Keith E Johnson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 13270 Big Basin Way, Boulder Creek, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952529133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42162 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith E Johnson, 13270 Big Basin Way, Boulder Creek, CA 95006 Ph: (831) 338-2131 | Mr Keith E Johnson, 13270 Big Basin Way, Boulder Creek, CA 95006 Ph: (831) 338-2131 |
Dr. Steven John Morandi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12880 Highway 9, Boulder Creek, CA 95006 Phone: 831-338-1888 Fax: 831-338-5005 | |
Dr. Debra Ann Woo, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 12880 Hwy 9, Boulder Creek, CA 95006 Phone: 831-338-1888 Fax: 831-338-5005 | |
Sulmaan Hassan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12880 Highway 9, Boulder Creek, CA 95006 Phone: 408-621-6773 |