Individual
EMILY JEAN-LOY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 W HAPPY VALLEY RD, PHOENIX, AZ 85085-2884
(623) 434-0543
Mailing address
229 E DESERT PARK LN, PHOENIX, AZ 85020-4075
(602) 690-7673
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D012691
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
02/26/2019
Last updated
02/24/2026
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