Individual
DR. JOHN GASSAWAY MOHLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1122 N ROLLING RD, CATONSVILLE, MD 21228-3826
(410) 747-2229
Mailing address
1122 N ROLLING RD, CATONSVILLE, MD 21228-3826
(410) 747-2229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14021
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14021
MARYLAND DENTAL LICENSE
MD
Enumeration date
10/11/2011
Last updated
10/11/2011
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