Individual
TRENTON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10157 S 940 W, SOUTH JORDAN, UT 84095
(801) 879-0400
Mailing address
10157 S 940 W, SOUTH JORDAN, UT 84095-4635
(801) 879-0400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10762199-9921
UT
Other
Enumeration date
02/15/2016
Last updated
03/27/2019
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