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1629011069
BRUCE ROY JOHNSON
TACOMA, WA
NPI
1629011069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: WA DE00006627)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
Dr. BRUCE ROY JOHNSON DDS
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
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Mailing Address
Dr. BRUCE ROY JOHNSON DDS
17308 97TH AVENUE CT E
PUYALLUP, WA 98375-9682
Phone number: 253-840-5462
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