Dr. Robert Clark Johnson, D.D.S.
Dentist, General Practice in Gilroy, CA. Individual provider (NPI-1).
NPI number1619081775
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619081775
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Clark Johnson
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 29313 | CA | Yes |
Practice location
681 1st StGilroy, CA 95020-5033
Phone 408-842-0418 · Fax 408-842-0499
Mailing address
681 1st StGilroy, CA 95020-5033
Phone 408-842-0418 · Fax 408-842-0499
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