Individual
DR. SHUNG HYUN JOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,D,S,
Contact information
Practice address
13651 N 35TH AVE, PHOENIX, AZ 85029-1267
(602) 504-1400
Mailing address
4533 W RAVINA LN, ANTHEM, AZ 85086-1430
(623) 518-2108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6759
AZ
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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