Individual
DR. GREGORY A. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18540 OUTER DR, DEARBORN, MI 48128-1896
(313) 563-2400
(313) 563-4608
Mailing address
18540 OUTER DR, DEARBORN, MI 48128-1896
(313) 563-2400
(313) 563-4608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010334
MI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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