Individual
DR. GARY EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
70 W SMILEY AVE, SHELBY, OH 44875-1056
(419) 342-4566
(419) 347-6617
Mailing address
70 W SMILEY AVE, SHELBY, OH 44875-1056
(419) 342-4566
(419) 347-6617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15765
OH
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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