Individual
DR. PHILIP SHAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4025 W. BELL RD, SUITE 7, PHOENIX, AZ 85053-2793
(602) 862-0967
(602) 547-9735
Mailing address
4025 W. BELL RD, SUITE 7, PHOENIX, AZ 85053-2793
(602) 862-0967
(602) 547-9735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5041
AZ
Other
Enumeration date
11/06/2006
Last updated
12/05/2012
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