Organization
JRFDO LLC
Active
Other names
Johnson Ranch Family Dentistry & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JARED POPE DDS (CEO)
(480) 332-6111
Entity
Organization
Contact information
Practice address
530 E HUNT HWY STE 123, SAN TAN VALLEY, AZ 85143-6583
(480) 987-4700
Mailing address
530 E HUNT HWY STE 123, SAN TAN VALLEY, AZ 85143-6583
(480) 987-4700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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