Organization · Type 2 NPI

Joseph G Johansen DDS PC

Oral and Maxillofacial Surgery Clinic/Center · Mesa, AZ

NPI number 1649459926 Active

Practice location

3048 E Baseline Rd, Suite #105
Mesa, AZ 85204-7286

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XAZ3185 (AZ)

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1649459926

Joseph G Johansen DDS PC's National Provider Identifier is 1649459926, issued on Nov 2, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Mesa, AZ. The record was last updated on Nov 2, 2007.