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Individual

DR. ANTHONY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 471-5950
Mailing address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 471-5950

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.023931
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES.3321
OH

Other

Enumeration date
01/06/2014
Last updated
01/06/2014
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