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Individual

DR. JOHN EDMOND DUCKWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, M.MED.SC

Contact information

Practice address
5050 BLAZER PKWY, SUITE 201, DUBLIN, OH 43017-3361
(614) 761-1408
(614) 761-1408
Mailing address
5050 BLAZER PKWY, SUITE 201, DUBLIN, OH 43017-3361
(614) 761-1408
(614) 761-1408

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17188
OH

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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