DR. Justin Israelsen, DMD

NPI #1619236742 in Sierra Vista, Arizona

Provider Information

NPI Number: 1619236742
Entity Type: Individual
Name: DR. Justin Israelsen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 9, 2012
Last Updated: Aug 8, 2017

Practice Location

Address: 1900 PASEO SAN LUIS
City: Sierra Vista
State: Arizona
ZIP Code: 85635-4614
Phone: (520) 458-2415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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