Individual
KAITLIN ELIZABETH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4884 DRESSLER RD NW, CANTON, OH 44718-2544
(330) 493-8197
Mailing address
1127 HIGHLAND ST, COLUMBUS, OH 43201-3277
(513) 461-9265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
OH
Other
Enumeration date
05/10/2010
Last updated
07/11/2011
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