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Organization
GARY ROBERT JOHNSON, DDS, INC.
Active
Organization
GARY ROBERT JOHNSON, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ROBERT JOHNSON D.D.S. (OWNER)
(818) 981-4824
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD, SUITE 202, SHERMAN OAKS, CA 91403-1715
(818) 981-4824
(818) 981-4096
Mailing address
4910 VAN NUYS BLVD, SUITE 202, SHERMAN OAKS, CA 91403-1715
(818) 981-4824
(818) 981-4096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29606
CA
Other
Enumeration date
09/02/2006
Last updated
08/22/2020
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