Organization
J BUENJEMIA PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BUENJEMIA DDS (OWNER)
(909) 224-4830
Entity
Organization
Contact information
Practice address
6239 E BROWN RD STE 102, MESA, AZ 85205-4933
(909) 224-4830
Mailing address
5151 N 16TH ST APT 3029, PHOENIX, AZ 85016-3814
(909) 224-4830
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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