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Gary R. Johnson, D.d.s., P.c.
Dental Clinic/Center in Berkeley, Illinois
NPI 1366466930

Gary R. Johnson, D.d.s., P.c. is a Dental Clinic/Center based in Berkeley, IL and is specialized in Dental. Gary R. Johnson, D.d.s., P.c. practices in Berkeley, IL. The NPI Number for Gary R. Johnson, D.d.s., P.c. is 1366466930 and holds a License No. (Illinois).

The current practice location address for Gary R. Johnson, D.d.s., P.c. is 5646 Saint Charles Rd, Berkeley, IL and can be reached out via phone at 708-544-7474.

Location: 5646 Saint Charles Rd, Berkeley, IL, 60163-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366466930
Provider Name
Gary R. Johnson, D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
5646 Saint Charles Rd, Berkeley, IL, 60163-1148
Phone Number
708-544-7474
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5646 Saint Charles Rd
City
Berkeley
State
Illinois
Zip
60163-1148
Phone Number
708-544-7474
Fax Number
person
Provider Business Mailing Address Details
Address
5646 Saint Charles Rd
City
Berkeley
State
Illinois
Zip
60163-1148
Phone Number
708-544-7474
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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