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Individual

VICTORIA L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
81 W ESPERANZA BLVD, STE 201, GREEN VALLEY, AZ 85614-2667
(520) 625-4401
(520) 625-8504
Mailing address
81 W ESPERANZA BLVD, STE 201, GREEN VALLEY, AZ 85614-2667
(520) 625-4401
(520) 625-8504

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2741
AZ

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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