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1215318977
JUSTIN GRANT JOHANSEN
CHANDLER, AZ
NPI
1215318977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D009269)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
Dr. JUSTIN GRANT JOHANSEN D.M.D
3800 W RAY RD STE 11
CHANDLER, AZ 85226-5940
Phone number: 480-345-0530
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Mailing Address
Dr. JUSTIN GRANT JOHANSEN D.M.D
3800 W RAY RD STE 11
CHANDLER, AZ 85226-5940
Phone number: 480-345-0530
Copy
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