NPI 1023117173
Gary Robert Johnson, DDS
Practice location
- Address
- 4910 van Nuys Blvd. Suite 202, Sherman Oaks, CA 91403-1760
- Phone
- (818) 981-4824
- Fax
- (818) 981-4096
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023117173
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.