| Johnson Ranch Family Dentistry & Orthodontics | |
|
530 E Hunt Hwy Ste 123 San Tan Valley AZ 85143-6583 | |
| (480) 987-4700 | |
| Not Available |
| Full Name | Johnson Ranch Family Dentistry & Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 530 E Hunt Hwy Ste 123, San Tan Valley, Arizona |
| Authorized Official Name and Position | Jared Pope (CEO) |
| Authorized Official Contact | 4803326111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Ranch Family Dentistry & Orthodontics 530 E Hunt Hwy Ste 123 San Tan Valley AZ 85143-6583 Ph: (480) 987-4700 | Johnson Ranch Family Dentistry & Orthodontics 530 E Hunt Hwy Ste 123 San Tan Valley AZ 85143-6583 Ph: (480) 987-4700 |
| NPI Number | 1184159360 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184159360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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