Matthew A Johanson, D.M.D.
NPI #1194963660 in Northglenn, Colorado
Provider Information
- NPI Number
- 1194963660
- Entity Type
- Individual
- Name
- Matthew A Johanson, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.M.D.
- Enumeration Date
- Jan 21, 2009
- Last Updated
- Nov 6, 2013
Practice Location
- Address
- 11178 HURON ST
- Address 2
- STE 100
- City
- Northglenn
- State
- Colorado
- ZIP Code
- 80234-4370
- Phone
- (303) 457-9617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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