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1346206869
STACY CEDRIC JOHNSON
INDIANAPOLIS, IN
NPI
1346206869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010163)
Enumeration Date
2006-04-24
Last Update Date
2007-07-09
Business Address
Dr. STACY CEDRIC JOHNSON DDS
2727 N HIGH SCHOOL RD
INDIANAPOLIS, IN 46224-2911
Phone number: 317-299-0706
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Mailing Address
Dr. STACY CEDRIC JOHNSON DDS
2727 N HIGH SCHOOL RD
INDIANAPOLIS, IN 46224-2911
Phone number: 317-299-0706
Copy
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