TIMOTHY TERELL JOHNSON

CANTON, MS
NPI1316042237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MS  3108-99)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY TERELL JOHNSON DDS
512 W FULTON ST
CANTON, MS 39046-4254
Phone number: 601-855-5885
Mailing Address
Dr. TIMOTHY TERELL JOHNSON DDS
512 W FULTON ST
CANTON, MS 39046-4254
Phone number: 601-855-5885
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