DR. Brent Johansen, D.D.S.

NPI #1225189723 in Blanding, Utah

Provider Information

NPI Number: 1225189723
Entity Type: Individual
Name: DR. Brent Johansen, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 212 S 200 E
City: Blanding
State: Utah
ZIP Code: 84511-2926
Phone: (435) 678-3440

Specialties & Taxonomy Codes

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

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Organizations

Provider Name	Specialty	City
Utah Navajo Health System, Incorporated	Dentist - General Practice	Blanding	AI Deep Dive

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