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Individual

DR. JAMES WAYNE JENISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
10715 N FRANK LLOYD WRIGHT BLVD, STE 102, SCOTTSDALE, AZ 85259
(480) 860-6000
(480) 657-3203
Mailing address
10715 N FRANK LLOYD WRIGHT BLVD, STE 102, SCOTTSDALE, AZ 85259
(480) 860-6000
(480) 657-3203

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4540
AZ

Other

Enumeration date
12/17/2007
Last updated
07/31/2015
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