| NPI | 1154489938 |
|---|---|
| Former Legal Business Name | GREGORY L. JOHNSON, DDS, PC |
| Entity Type | Organization |
| Authorized Contact | GREGORY L. JOHNSON President 907-452-4509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-05-08 |