JAN JOSEPHSON

PHOENIX, AZ
NPI1780786343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  001433)
Enumeration Date2006-09-03
Last Update Date2007-07-08
Business Address
-- JAN JOSEPHSON
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- JAN JOSEPHSON
PO BOX 310001-069
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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