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1053494583
GREGG KEVIN JOHNSON
SAN DIEGO, CA
NPI
1053494583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 43982)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
-- GREGG KEVIN JOHNSON DDS
306 WALNUT AVE # 334
SAN DIEGO, CA 92103-4978
Phone number: 619-297-6720
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Mailing Address
-- GREGG KEVIN JOHNSON DDS
306 WALNUT AVE # 334
SAN DIEGO, CA 92103-4978
Phone number: 619-297-6720
Copy
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