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Individual

BRITTANY KRISTEN JOHANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
60 W MAIN STREET CT STE 100, ALPINE, UT 84004-4650
(801) 899-9789
Mailing address
4057 W CIMARRON, CEDAR HILLS, UT 84062-8518
(515) 306-9012

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12092409-9922
UT
122300000X
Dentist
DDS-09324
IA

Other

Enumeration date
10/12/2015
Last updated
07/19/2022
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