Organization
JAMES JENISTA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JENISTA DDS (OWNER)
(480) 680-6000
Entity
Organization
Contact information
Practice address
10715 N FRANK LLOYD WRIGHT BLVD, STE 102, SCOTTSDALE, AZ 85259
(480) 860-6000
(480) 657-3203
Mailing address
10715 N FRANK LLOYD WRIGHT BLVD, STE 102, SCOTTSDALE, AZ 85259
(480) 860-6000
(480) 657-3203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4540
AZ
Other
Enumeration date
11/16/2006
Last updated
07/31/2015
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