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1316416621
J. GRANT JOHANSEN DMD PLLC
CHANDLER, AZ
NPI
1316416621
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Entity Type
Organization
Authorized Contact
JUSTIN GRANT JOHANSEN
Dentist, Owner
480-254-6712
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
J. GRANT JOHANSEN DMD PLLC
3800 W RAY RD STE 11
CHANDLER, AZ 85226-5940
Phone number: 480-345-0530
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Mailing Address
J. GRANT JOHANSEN DMD PLLC
3800 W RAY RD STE 11
CHANDLER, AZ 85226-5940
Phone number: 480-345-0530
Copy
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