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1811047715
MOSES JOHNSON
FORT PIERCE, FL
NPI
1811047715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: FL DN14317)
Enumeration Date
2007-01-11
Last Update Date
2007-07-09
Business Address
-- MOSES JOHNSON DDS
714 AVENUE C
FORT PIERCE, FL 34950-4189
Phone number: 772-462-3833
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Mailing Address
-- MOSES JOHNSON DDS
5150 NW MILNER DR
PORT ST LUCIE, FL 34983-3392
Phone number: 772-462-3833
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