Individual
DR. MERRY ELIZABETH JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19196 N. 78TH AVE., GLENDALE, AZ 85308
(623) 572-9919
(623) 572-9919
Mailing address
19196 N. 78TH AVE, GLENDALE, AZ 85308
(623) 572-9919
(623) 572-9919
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D02336
AZ
1223E0200X
Endodontics
D2336
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325648
—
AZ
Enumeration date
08/03/2005
Last updated
03/25/2013
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