Organization
EAST VALLEY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JOHNSON DMD (MANAGER)
(480) 632-7500
Entity
Organization
Contact information
Practice address
1355 S HIGLEY RD, STE 117, GILBERT, AZ 85296-4799
(480) 632-7500
(480) 632-8900
Mailing address
1355 S HIGLEY RD, STE 117, GILBERT, AZ 85296-4799
(480) 632-7500
(480) 632-8900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D05410
AZ
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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