Jordan Landing Pediatric Dentistry DDS
NPI #1265215347 in West Jordan, Utah
Provider Information
- NPI Number
- 1265215347
- Entity Type
- Organization
- Organization Name
- Jordan Landing Pediatric Dentistry DDS
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 14, 2023
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 7613 S JORDAN LANDING BLVD STE 210
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-1973
- Phone
- (801) 280-9595
Authorized Official
- Name
- RYAN RICHARD JOHANSEN, DDS
- Title
- DENTIST
- Phone
- (801) 280-9595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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