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Individual

JOSEPH DONOVAN TENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
100 NORTH 13TH WEST, SAINT JOHNS, AZ 85936
(928) 337-2522
(928) 337-4881
Mailing address
PO BOX 930, 100 NORTH 13TH WEST, SAINT JOHNS, AZ 85936-0930
(928) 337-2522
(928) 337-4881

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7350
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D7350
DENTAL STATE LICENSE #
AZ
Enumeration date
08/14/2007
Last updated
08/14/2007
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