Individual
MR. GARY K JOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4088 JOHN R RD, TROY, MI 48085
(248) 680-9030
(248) 680-0823
Mailing address
4088 JOHN R RD, TROY, MI 48085
(248) 680-9030
(248) 680-0823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15041
MI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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