Gary Lafayette Johnson D.D.S.

NPI 1336316744 - Dentist - 122300000X

NPI Details
NPI 1336316744
Gender Male
Enumeration Date 05/14/2008
Last Updated 05/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3915 CASCADE RD SW STE 120
ATLANTA GA, 30331-8519, US
Phone (404) 472-0425
Fax (404) 472-0669
Business Location
3915 CASCADE RD SW STE 120
ATLANTA GA, 30331-8519, US
Phone (404) 472-0425
Fax (404) 472-0669
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number 11217
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According to our database, Gary Lafayette Johnson D.D.S. NPI is 1336316744, taxonomy code is 122300000X and license number is 11217, license state is located at Georgia. Gary Lafayette Johnson D.D.S. physically located at 3915 Cascade Rd Sw Ste 120, Atlanta GA, 30331-8519. NPI Number Gary Lafayette Johnson D.D.S. has the Individual type.

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1336316744 NPI number is provided on an as is basis without warranty of any kind. 1336316744 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Lafayette Johnson D.D.S. are for informational purposes only.