Jordan Landing Pediatrics
NPI #1528374337 in West Jordan, Utah
Provider Information
- NPI Number
- 1528374337
- Entity Type
- Organization
- Organization Name
- Jordan Landing Pediatrics
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Aug 31, 2010
- Last Updated
- Aug 31, 2010
Practice Location
- Address
- 7613 JORDAN LANDING BLVD
- Address 2
- STE 210
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-1972
- Phone
- (801) 280-9595
Authorized Official
- Name
- DR. R RYAN JOHANSEN, D.D.S.
- Title
- DOCTOR
- Phone
- (801) 280-9595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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