DR. Richard Eric Johansen, DDS
NPI #1215058052 in West Jordan, Utah
Provider Information
- NPI Number
- 1215058052
- Entity Type
- Individual
- Name
- DR. Richard Eric Johansen, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7611 JORDAN LANDING BLVD
- Address 2
- SUITE #100
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-5610
- Phone
- (801) 563-0699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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