| North Valley Center For Oral And Implant Surgery, P.c. | |
|
4025 W Bell Rd Suite 9 Phoenix AZ 85053-2750 | |
| (602) 978-2890 | |
| (602) 978-5794 |
| Full Name | North Valley Center For Oral And Implant Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4025 W Bell Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Donald J Johnson (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 6029782890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Valley Center For Oral And Implant Surgery, P.c. 4025 W Bell Rd Suite 9 Phoenix AZ 85053-2750 Ph: (602) 978-2890 | North Valley Center For Oral And Implant Surgery, P.c. 4025 W Bell Rd Suite 9 Phoenix AZ 85053-2750 Ph: (602) 978-2890 |
| NPI Number | 1710133004 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710133004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5583 (Arizona) | Primary |
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