Gary M Johnson JR., DMD

NPI #1134579071 in Pooler, Georgia

Provider Information

NPI Number: 1134579071
Entity Type: Individual
Name: Gary M Johnson JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 21, 2016
Last Updated: Jun 21, 2016

Practice Location

Address: 145 TRADERS WAY
Address 2: SUITE D
City: Pooler
State: Georgia
ZIP Code: 31322-6005
Phone: (912) 748-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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