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Organization
JORDAN LANDING PEDIATRIC DENTISTRY DDS
Active
Organization
JORDAN LANDING PEDIATRIC DENTISTRY DDS
Active
Other names
Jordan Landing Pediatric Dentistry DDS
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN RICHARD JOHANSEN DDS (DENTIST)
(801) 280-9595
Entity
Organization
Contact information
Practice address
7613 S JORDAN LANDING BLVD STE 210, WEST JORDAN, UT 84084-1973
(801) 280-9595
Mailing address
7613 S JORDAN LANDING BLVD STE 210, WEST JORDAN, UT 84084-1973
(385) 209-5038
(801) 280-1169
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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