Gary Robert Johnson D.D.S.

NPI 1023117173 - Dentist - 1223G0001X

NPI Details
NPI 1023117173
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4910 VAN NUYS BLVD.
SUITE 202
SHERMAN OAKS CA, 91403-1760, US
Phone (818) 981-4824
Fax (818) 981-4096
Business Location
4910 VAN NUYS BLVD.
SUITE 202
SHERMAN OAKS CA, 91403-1760, US
Phone (818) 981-4824
Fax (818) 981-4096
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 29606
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According to our database, Dr. Gary Robert Johnson D.D.S. NPI is 1023117173, taxonomy code is 1223G0001X and license number is 29606, license state is located at California. Gary Robert Johnson D.D.S. physically located at 4910 Van Nuys Blvd., Sherman Oaks CA, 91403-1760. NPI Number Gary Robert Johnson D.D.S. has the Individual type.

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1023117173 NPI number is provided on an as is basis without warranty of any kind. 1023117173 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Robert Johnson D.D.S. are for informational purposes only.