JUSTIN MODUGNO

CANTON, OH
NPI1346623147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OH  RES.3620)
Additional Taxonomies122300000X Dentist
(Licence: OH  30-024466)
Enumeration Date2015-06-30
Last Update Date2015-09-02
Business Address
Dr. JUSTIN MODUGNO DDS
1320 MERCY DR NW
CANTON, OH 44708-2614
Phone number: 330-471-5950
Mailing Address
Dr. JUSTIN MODUGNO DDS
1320 MERCY DR NW
CANTON, OH 44708-2614
Phone number: 330-471-5950