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1023024064
RICHARD S JOHNSON
PROVIDENCE, UT
NPI
1023024064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 5909098)
Enumeration Date
2006-07-31
Last Update Date
2023-03-07
Business Address
RICHARD S JOHNSON DDS
SOUTH VALLEY FAMILY DENTAL DR. RICHARD S. JOHNSON DDS 271 N. SPRINGCREEK PKWY SUITE D
PROVIDENCE, UT 84332-9875
Phone number: 435-787-2122
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Mailing Address
RICHARD S JOHNSON DDS
SOUTH VALLEY FAMILY DENTAL DR. RICHARD S. JOHNSON DDS 271 N. SPRINGCREEK PKWY SUITE D
PROVIDENCE, UT 84332-9875
Phone number: 435-787-2122
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