Individual
DR. JUSTIN MODUGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8340 CLEVELAND AVE NW, NORTH CANTON, OH 44720-4820
(330) 494-6305
Mailing address
8340 CLEVELAND AVE NW, NORTH CANTON, OH 44720-4820
(330) 494-6305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-024466
OH
122300000X
Dentist
RES.3620
OH
Other
Enumeration date
06/30/2015
Last updated
03/18/2025
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