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Organization
LDJ ENDODONTICS, LTD
Active
Organization
LDJ ENDODONTICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE DOUGLAS JOHNS (PRESIDENT)
(623) 878-6996
Entity
Organization
Contact information
Practice address
8632 W CLARA LN, PEORIA, AZ 85382-1429
(623) 878-6996
Mailing address
8632 W CLARA LN, PEORIA, AZ 85382-1429
(623) 878-6996
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2335
AZ
Other
Enumeration date
08/12/2005
Last updated
04/15/2012
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