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1316042237
TIMOTHY TERELL JOHNSON
CANTON, MS
NPI
1316042237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MS 3108-99)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY TERELL JOHNSON DDS
512 W FULTON ST
CANTON, MS 39046-4254
Phone number: 601-855-5885
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Mailing Address
Dr. TIMOTHY TERELL JOHNSON DDS
512 W FULTON ST
CANTON, MS 39046-4254
Phone number: 601-855-5885
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