Individual
DR. GABRIELLE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2046 DORCHESTER CT, GOSHEN, IN 46526-6534
(574) 533-2469
(574) 537-1791
Mailing address
2046 DORCHESTER CT, GOSHEN, IN 46526-6534
(574) 533-2469
(574) 537-1791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012168A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871907725
—
IN
Enumeration date
06/19/2014
Last updated
12/29/2024
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