| NPI | 1710133004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J JOHNSON Oral And Maxillofacial Surgeon 602-978-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 5583) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2009-03-12 |