Individual
DR. JOHNNY ROY FUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 S POPLAR ST, BUCYRUS, OH 44820-2209
(419) 562-9901
(419) 562-1460
Mailing address
117 S POPLAR ST, BUCYRUS, OH 44820-2209
(419) 562-9901
(419) 562-1460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30. 017343
OH
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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