Thanh T Mollica, D.D.S., PA-C

NPI #1912988163 in Canton, Ohio

Provider Information

NPI Number: 1912988163
Entity Type: Individual
Name: Thanh T Mollica, D.D.S., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: D.D.S., PA-C
Enumeration Date: Nov 7, 2005
Last Updated: Dec 2, 2021

Practice Location

Address: 1320 MERCY DR NW
City: Canton
State: Ohio
ZIP Code: 44708-2614
Phone: (330) 489-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Dentist	122300000X

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