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1417192964
MANTIQUE JOHNSON
ATLANTA, GA
NPI
1417192964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: GA DN013821)
Enumeration Date
2008-12-12
Last Update Date
2008-12-12
Business Address
DR. MANTIQUE JOHNSON D.D.S
75 MARIETTA ST NW SUITE 100
ATLANTA, GA 30303-2883
Phone number: 404-577-0868
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Mailing Address
DR. MANTIQUE JOHNSON D.D.S
75 MARIETTA ST NW SUITE 100
ATLANTA, GA 30303-2883
Phone number: 804-720-6797
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