Individual
JOHANNA J TESONIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7425 E SHEA BLVD, SUITE 109, SCOTTSDALE, AZ 85260-6411
(480) 443-1717
Mailing address
7425 E SHEA BLVD, SUITE 109, SCOTTSDALE, AZ 85260-6411
(602) 616-5175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6546
AZ
Other
Enumeration date
10/25/2006
Last updated
10/18/2012
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