# JOHNSON & LARSEN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588002588
- **Authorized official:** MRS. KATHERINE A DOOT (FINANCIAL COORDINATOR)
- **Authorized official phone:** (480) 813-8890

## Contact information

- **Practice address:** 726 N GREENFIELD RD, STE 126, GILBERT, AZ 85234-5061
- **Practice address phone:** (480) 813-8890
- **Practice address fax:** (480) 813-0896
- **Mailing address:** 726 N GREENFIELD RD, STE 126, GILBERT, AZ 85234-5061
- **Mailing address phone:** (480) 813-8890
- **Mailing address fax:** (480) 813-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 06/12/2013