# JRFDO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Ranch Family Dentistry & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184159360
- **Authorized official:** JARED POPE DDS (CEO)
- **Authorized official phone:** (480) 332-6111

## Contact information

- **Practice address:** 530 E HUNT HWY STE 123, SAN TAN VALLEY, AZ 85143-6583
- **Practice address phone:** (480) 987-4700
- **Mailing address:** 530 E HUNT HWY STE 123, SAN TAN VALLEY, AZ 85143-6583
- **Mailing address phone:** (480) 987-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 04/26/2017