DR. Andrew Johansen, DDS

NPI #1346815164 in Holladay, Utah

Provider Information

NPI Number: 1346815164
Entity Type: Individual
Name: DR. Andrew Johansen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 24, 2021
Last Updated: May 24, 2021

Practice Location

Address: 4970 S 900 E STE B
City: Holladay
State: Utah
ZIP Code: 84117-5798
Phone: (801) 261-2013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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