| Gary Robert Johnson, Dds, Inc. | |
|
4910 Van Nuys Blvd Suite 202 Sherman Oaks CA 91403-1715 | |
| (818) 981-4824 | |
| (818) 981-4096 |
| Full Name | Gary Robert Johnson, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4910 Van Nuys Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Gary Robert Johnson (OWNER) |
| Authorized Official Contact | 8189814824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Robert Johnson, Dds, Inc. 4910 Van Nuys Blvd Suite 202 Sherman Oaks CA 91403-1715 Ph: (818) 981-4824 | Gary Robert Johnson, Dds, Inc. 4910 Van Nuys Blvd Suite 202 Sherman Oaks CA 91403-1715 Ph: (818) 981-4824 |
| NPI Number | 1134221880 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134221880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29606 (California) | Primary |
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