Organization
ERNEST N. JOHNSON, DDS, PC
Active
Other names
West Cactus Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST NELMS JOHNSON DDS (PRESIDENT)
(602) 863-9079
Entity
Organization
Contact information
Practice address
2933 W CACTUS RD, PHOENIX, AZ 85029-2346
(602) 863-9079
(602) 863-0541
Mailing address
2933 W CACTUS RD, PHOENIX, AZ 85029-2346
(602) 863-9079
(602) 863-0541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5010
AZ
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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