DR. Gary Robert Johnson, D.D.S.
NPI #1023117173 in Sherman Oaks, California
Provider Information
- NPI Number
- 1023117173
- Entity Type
- Individual
- Name
- DR. Gary Robert Johnson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4910 VAN NUYS BLVD.
- Address 2
- SUITE 202
- City
- Sherman Oaks
- State
- California
- ZIP Code
- 91403-1760
- Phone
- (818) 981-4824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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