| Ldj Endodontics, Ltd | |
|
8632 W Clara Ln Peoria AZ 85382-1429 | |
| (623) 878-6996 | |
| Not Available |
| Full Name | Ldj Endodontics, Ltd |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8632 W Clara Ln, Peoria, Arizona |
| Authorized Official Name and Position | Laurence Douglas Johns (PRESIDENT) |
| Authorized Official Contact | 6238786996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldj Endodontics, Ltd 8632 W Clara Ln Peoria AZ 85382-1429 Ph: (623) 878-6996 | Ldj Endodontics, Ltd 8632 W Clara Ln Peoria AZ 85382-1429 Ph: (623) 878-6996 |
| NPI Number | 1508868209 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 04/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508868209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2335 (Arizona) | Primary |
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