Organization
GARY W JOHNSON, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WILLIAM JOHNSON D.D.S.,M.S. (DENTIST)
(517) 374-7100
Entity
Organization
Contact information
Practice address
1322 E MICHIGAN AVE, STE 303, LANSING, MI 48912-2199
(517) 374-7100
(517) 374-6566
Mailing address
1322 E MICHIGAN AVE, STE 303, LANSING, MI 48912-2199
(517) 374-7100
(517) 374-6566
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9995
MI
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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