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Organization
HUNTER C. JOH, DDS PA
Active
Organization
HUNTER C. JOH, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER CROOM JOH DDS (PRESIDENT)
(910) 352-3161
Entity
Organization
Contact information
Practice address
123 BRYAN STREET, KENANSVILLE, NC 28349-0826
(910) 352-3161
Mailing address
PO BOX 826, KENANSVILLE, NC 28349-0826
(910) 352-3161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7293
NC
1223G0001X
General Practice Dentistry
8688
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902JW
—
NC
Enumeration date
06/22/2011
Last updated
06/22/2011
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