Individual
ALLEN GUNNAR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
121 N LAST CHANCE GULCH, HELENA, MT 59601-4159
(406) 443-5526
Mailing address
701 N DAVIS ST APT B, HELENA, MT 59601-3776
(406) 560-2538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN-DEN-LIC-7779
MT
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC7779
MT
Other
Enumeration date
06/13/2014
Last updated
03/19/2015
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