| Johnson Ranch Family Dentistry | |
|
270 E Hunt Hwy Bldg. 3, Suite 14 Queen Creek AZ 85243-4962 | |
| (480) 888-2271 | |
| (480) 888-7474 |
| Full Name | Johnson Ranch Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 270 E Hunt Hwy, Queen Creek, Arizona |
| Authorized Official Name and Position | Scott Dee Wallin (DENTIST) |
| Authorized Official Contact | 4808882271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Ranch Family Dentistry 270 E Hunt Hwy Bldg. 3, Suite 14 Queen Creek AZ 85243-4962 Ph: (480) 888-2271 | Johnson Ranch Family Dentistry 270 E Hunt Hwy Bldg. 3, Suite 14 Queen Creek AZ 85243-4962 Ph: (480) 888-2271 |
| NPI Number | 1427230770 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427230770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5868 (Arizona) | Primary |
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