Organization
JJ DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SHAW D.M.D. (OWNER)
(602) 309-2367
Entity
Organization
Contact information
Practice address
9014 W THOMAS RD STE 103, PHOENIX, AZ 85037-3474
(623) 872-9117
Mailing address
9227 S 47TH PL, PHOENIX, AZ 85044-7519
(602) 309-2367
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
05/18/2023
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