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JOSEPH DONOVAN TENNEY D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1063604965

Individual Registrant:
 JOSEPH DONOVAN TENNEY D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
100 NORTH 13TH WEST  SAINT JOHNS, AZ 85936 US
Tel: 928-337-2522  Fax: 928-337-4881

Contact information for business:
PO BOX 930 100 NORTH 13TH WEST SAINT JOHNS, AZ 85936-0930 US
Tel: 928-337-2522  Fax: 928-337-4881

Registration Information:
NPI: 1063604965
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZD7350

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DENTAL STATE LICENSE #D7350AZ01




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