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
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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