Individual
STEPHEN W. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9295 E. THUNDERBIRD RD, SUITE 104, SCOTTSDALE, AZ 85260
(480) 661-1616
Mailing address
9295 E. THUNDERBIRD RD, SUITE 104, SCOTTSDALE, AZ 85260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5329
AZ
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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