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Organization
JOHNSON RANCH FAMILY DENTISTRY
Active
Organization
JOHNSON RANCH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DEE WALLIN DDSM , PC (DENTIST)
(480) 888-2271
Entity
Organization
Contact information
Practice address
270 E HUNT HWY, BLDG. 3, SUITE 14, QUEEN CREEK, AZ 85243-4962
(480) 888-2271
(480) 888-7474
Mailing address
270 E HUNT HWY, BLDG. 3, SUITE 14, QUEEN CREEK, AZ 85243-4962
(480) 888-2271
(480) 888-7474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5868
AZ
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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