Individual
DR. GARY O. JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1920 W LOOP ST, EL CAMPO, TX 77437-8007
(979) 543-5221
(979) 543-5245
Mailing address
1920 W LOOP ST, EL CAMPO, TX 77437-8007
(979) 543-5221
(979) 543-5245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12455
TX
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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