Gregg Kevin Johnson DDS

NPI 1053494583 - Dentist - 122300000X

NPI Details
NPI 1053494583
Gender Male
Enumeration Date 10/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
306 WALNUT AVE # 334
SAN DIEGO CA, 92103-4978, US
Phone (619) 297-6720
Fax
Business Location
306 WALNUT AVE # 334
SAN DIEGO CA, 92103-4978, US
Phone (619) 297-6720
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 43982
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According to our database, Gregg Kevin Johnson DDS NPI is 1053494583, taxonomy code is 122300000X and license number is 43982, license state is located at California. Gregg Kevin Johnson DDS physically located at 306 Walnut Ave # 334, San Diego CA, 92103-4978. NPI Number Gregg Kevin Johnson DDS has the Individual type.

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1053494583 NPI number is provided on an as is basis without warranty of any kind. 1053494583 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg Kevin Johnson DDS are for informational purposes only.