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1023014404
ANITA R TA
MASSILLON, OH
NPI
1023014404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OH 30-02-0193)
Enumeration Date
2005-06-22
Last Update Date
2007-07-08
Business Address
Dr. ANITA R TA DDS
2400 WALES AVE NW STE B
MASSILLON, OH 44646-2366
Phone number: 330-833-2619
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Mailing Address
Dr. ANITA R TA DDS
2400 WALES AVE NW STE B
MASSILLON, OH 44646-2366
Phone number: 330-833-2619
Copy
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