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1215058052
RICHARD ERIC JOHANSEN
WEST JORDAN, UT
NPI
1215058052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 4784287-9922)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Dr. RICHARD ERIC JOHANSEN DDS
7611 JORDAN LANDING BLVD SUITE #100
WEST JORDAN, UT 84084-5610
Phone number: 801-563-0699
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Mailing Address
Dr. RICHARD ERIC JOHANSEN DDS
7611 JORDAN LANDING BLVD SUITE #100
WEST JORDAN, UT 84084-5610
Phone number: 801-563-0699
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