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Individual

MR. JOHN VINCENT LINHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5000
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5035476
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70981027
CO
05
734956
AZ
05
76438236
NM
Enumeration date
09/30/2005
Last updated
05/18/2010
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  • EDI platform