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1730170457
SHARON A DISTANT JOHNSON
BRONX, NY
NPI
1730170457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 047401)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Dr. SHARON A DISTANT JOHNSON dmd
1575 BLONDELL AVE
BRONX, NY 10461-2660
Phone number: 718-405-8197
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Mailing Address
Dr. SHARON A DISTANT JOHNSON dmd
241 CLAREMONT AVE
MT VERNON, NY 10552-3305
Phone number: 914-374-6741
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