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1194963660
MATTHEW A JOHANSON
NORTHGLENN, CO
NPI
1194963660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CO 10169)
Enumeration Date
2009-01-21
Last Update Date
2013-11-06
Business Address
-- MATTHEW A JOHANSON D.M.D.
11178 HURON ST STE 100
NORTHGLENN, CO 80234-4370
Phone number: 303-457-9617
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Mailing Address
-- MATTHEW A JOHANSON D.M.D.
3215 GENEVA ST
DENVER, CO 80238-3345
Phone number: 303-868-3064
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